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Gastric volvulus in children--a diagnostic problem: two case reports

Ilaria Trecroci1, Giuliana Morabito2, Claudio Romano3

  • 1Radiology Department, University of Messina, Policlinico G. Martino, Gazzi, Messina, 98100, Italy.

Journal of Medical Case Reports
|June 1, 2016
PubMed

Insights

Gastric volvulus, a rare cause of vomiting in children, requires prompt diagnosis to avoid serious complications. Radiological evaluation is key for identifying this condition and guiding treatment decisions.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Radiology

Background:

  • Gastric volvulus presents non-specific symptoms in children, often necessitating radiologic consultation.
  • Timely diagnosis is critical to prevent severe complications like ischemia, infarction, and perforation.

Observation:

  • Two pediatric cases of gastric volvulus are presented, featuring recurrent vomiting and failure to thrive.
  • Barium studies confirmed chronic organoaxial gastric volvulus in both patients.

Findings:

  • Gastric volvulus is exceptionally rare in pediatric patients.
  • The condition presents complex etiological and management challenges.

Implications:

  • A nonoperative approach is recommended when there are no critical warning signs.
  • Accurate diagnosis through clinical and radiological criteria is essential for appropriate pediatric care.
Abstract

Keywords:
Computed tomographyGastric volvulusPediatricsRadiographyVomiting

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