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Diagnosis of pediatric gastric, small-bowel and colonic volvulus

Charles Garel1,2, Marie Blouet3,4,5, Frederique Belloy3,5

  • 1Service d'imagerie diagnostique et de radiologie thérapeutique, Centre Hospitalier Universitaire de Caen, Avenue de la côte de Nacre, 14033, Caen, Cedex 9, France. garel-c@chu-caen.fr.

Pediatric Radiology
|September 24, 2015
PubMed

Insights

Digestive volvulus, a twisting of the stomach, small bowel, or colon often due to developmental issues, requires specific radiologic imaging. Treatment is typically surgical, with imaging tailored to the affected digestive segment.

Area of Science:

  • Medical Imaging
  • Developmental Biology
  • Gastroenterology

Background:

  • Digestive volvulus involves twisting of the stomach, small bowel, or colon.
  • It frequently stems from developmental abnormalities.
  • Understanding its presentation is crucial for diagnosis.

Purpose of the Study:

  • To describe the embryological development related to digestive volvulus.
  • To discuss the clinical and radiologic presentation of volvulus based on location.
  • To detail appropriate radiologic examinations for diagnosing digestive volvulus.

Main Methods:

  • Review of embryological development.
  • Analysis of clinical presentations.
  • Description of radiologic findings for different locations (gastric, small bowel, colonic).

Main Results:

  • Digestive volvulus can affect various parts of the digestive tract.
  • Specific imaging modalities are recommended for each location: upper GI series for gastric, ultrasonography for small bowel, and contrast enema for colon.
  • Radiologic appearance varies depending on the affected segment.

Conclusions:

  • Digestive volvulus has developmental origins and varied presentations.
  • Accurate radiologic diagnosis is essential for appropriate management.
  • Surgical intervention is the standard treatment for digestive volvulus.

Keywords:
Contrast enemaOcclusionPediatricsUltrasonographyUpper gastrointestinalVolvulus

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