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Gastric volvulus in childhood
AJR. American Journal of Roentgenology
|June 1, 1979
Insights
Gastric volvulus is a rare cause of upper gastrointestinal obstruction in children. Diagnosis involves abdominal X-rays and upper GI series, often revealing associated mesenteric issues.
Area of Science:
- Pediatric Gastroenterology
- Abdominal Radiology
Background:
- Gastric volvulus is an uncommon condition causing upper gastrointestinal obstruction in pediatric patients.
- It can present as organoaxial or mesenteroaxial.
- Early recognition is crucial for appropriate management.
Observation:
- This study describes seven pediatric cases of gastric volvulus.
- Plain abdominal radiography can suggest the diagnosis.
- Upper gastrointestinal series are used for confirmation.
Findings:
- Gastric volvulus in children frequently co-occurs with mesenteric abnormalities.
- Associated lesions leading to gastrointestinal distention are often present.
- The specific types (organoaxial, mesenteroaxial) were noted.
Implications:
- Highlights the importance of considering gastric volvulus in pediatric upper GI obstruction.
- Emphasizes the role of radiographic imaging in diagnosis.
- Suggests further investigation into associated conditions in affected children.
Abstract:
Gastric volvulus, organoaxial or mesenteroaxial, is an uncommon cause of upper gastrointestinal obstruction in childhood. It may be suspected on plain radiographic examination of the abdomen and confirmed by upper gastrointestinal series. Seven affected children are described. In childhood, gastric volvulus often coexists with mesenteric abnormalities or with lesions that lead to distention of the gastrointestinal tract.