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[Gastric volvulus in childhood]

P Georgacopulo1, P Pavanello, F Shweiki

  • 1Ospedale S. Anna, Divisione di Chirurgia Pediatrica, Azienda Ospedaliera, Ferrara.

Minerva Pediatrica
|June 1, 1996
PubMed
Summary

Gastric volvulus, a twisting of the stomach, can be acute and life-threatening or chronic and recurrent in children. Surgical correction of anatomical defects is essential for recovery.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Diagnostics

Background:

  • Gastric volvulus presents as acute (necrotic, perforating) or chronic (pain, vomiting, distension) forms.
  • Acute gastric volvulus is common in newborns/toddlers, often linked to diaphragmatic defects.
  • Idiopathic forms involve stomach fixation deficits, while acute forms may stem from diaphragmatic abnormalities.

Observation:

  • This case details an acute gastric volvulus in a 2-year-old male with a diaphragmatic defect.
  • The patient's age is atypical, as acute gastric volvulus is more common in younger infants.
  • The condition presented with symptoms requiring careful diagnostic consideration to prevent fatal outcomes.

Findings:

  • Surgical intervention is mandatory for both acute and chronic gastric volvulus.
  • Treatment involves correcting gastric fixation and malposition, alongside diaphragmatic defects.
  • The presented case highlights the successful surgical management of acute gastric volvulus in a toddler.

Implications:

  • Prompt diagnosis and surgical treatment are critical for managing gastric volvulus in children.
  • Understanding the varied presentations and associations is key for pediatric surgical emergencies.
  • This case underscores the importance of considering gastric volvulus in pediatric acute abdominal pain, regardless of typical age ranges.

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