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Acute mesenteroaxial gastric volvulus in an infant: a case report
W Brzezinski1, M M Laskin, K S Wong
1Department of Surgery, Fort McMurray Regional Hospital, Alta.
Insights
Gastric volvulus, a rare stomach malrotation, is detailed in this case of an 11-month-old infant. Prompt diagnosis and surgical intervention led to a successful long-term recovery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Case Reports
Background:
- Gastric volvulus is a rare condition involving abnormal stomach rotation, with few reported pediatric cases.
- Understanding its pathophysiology is crucial for timely diagnosis and management in infants.
Abstract:
Only 52 cases of gastric volvulus have been reported in children and infants. The pathophysiology of the condition relates to an abnormal rotation of the stomach. The authors report a case of an 11-month-old infant who presented with an 8-hour history of retching and obtundation. Abdominal distension and left upper-quadrant tenderness were the predominant physical findings. A diagnosis of mesenteroaxial gastric volvulus with eventration of the left hemidiaphram was made by means of plain-films and an upper gastrointestinal series. The child underwent laparotomy and gastrostomy, made a smooth recovery and was well 36 months postoperatively.