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Related Experiment Videos

Gastric volvulus: more common than previously thought?

O A Ogunbiyi1

  • 1Division of Radiology, College of Medicine, King Saud University, Abha, Saudi Arabia.

African Journal of Medicine and Medical Sciences
|December 1, 1994
PubMed
Summary

Chronic and recurrent gastric volvulus is often missed, with diagnosis frequently delayed until a barium study. Awareness and suspicion are key for diagnosing this rare condition in both children and adults.

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Diagnostic Imaging

Background:

  • Gastric volvulus is a rare condition involving the twisting of the stomach.
  • It can present with varied and often non-specific symptoms, leading to diagnostic challenges.

Observation:

  • A retrospective review identified 13 cases of chronic and recurrent gastric volvulus between 1987 and 1991.
  • Six cases were in pediatric patients and seven in adults.
  • The condition was not clinically suspected in any patient, with diagnosis made via upper gastrointestinal (UGI) barium series.

Findings:

  • Pediatric patients typically exhibited projectile vomiting and failure to thrive.
  • Adults presented with dyspepsia, abdominal pain, and vomiting, mimicking other upper abdominal pathologies.
  • All identified cases were organo-axial gastric volvulus, with associated conditions including hiatus hernia, small bowel malrotation, and jejunal obstruction.

Implications:

  • Gastric volvulus may be more common than previously believed.
  • Early diagnosis relies on heightened clinical awareness and suspicion.
  • A meticulously performed UGI barium series is crucial for accurate diagnosis, especially during symptomatic episodes.

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