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Gastric volvulus in childhood.

M N Ziprkowski, R L Teele

    AJR. American Journal of Roentgenology
    |June 1, 1979
    PubMed
    Summary

    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.

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    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.

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