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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
Summary
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.
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