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[Gastric volvulus in the infant. Clinical and radiological diagnosis]
1Unité de chirurgie infantile, Clinique Chirurgicale du CHU de Dakar, Hôpital A. Le Dantec, Pasteur, Dakar.
Dakar Medical
|January 1, 1997
Insights
Gastric volvulus, a rare condition in infants, can cause vomiting and regurgitation. Early diagnosis via barium meal X-ray is crucial for timely intervention in these cases.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Surgical Pediatrics
Background:
- Gastric volvulus is a rare but serious condition in infants.
- Vomiting and regurgitation are common functional symptoms in infants.
- Timely diagnosis and management are essential for favorable outcomes.
Observation:
- Two infant cases (5-month-old female, 3-month-old male) of gastric volvulus were reported.
- Patients presented with significant functional symptoms including vomiting and regurgitation.
- Diagnosis was confirmed using barium meal X-ray, identifying meso-axial and organoxial types.
Findings:
- Barium meal X-ray is an effective diagnostic tool for gastric volvulus in infants.
- The study highlights the importance of considering gastric volvulus in the differential diagnosis of infant vomiting.
- Different types of gastric volvulus (meso-axial, organoxial) were observed.
Implications:
- Increased clinical suspicion for gastric volvulus in infants with persistent vomiting is warranted.
- Prompt diagnosis can lead to appropriate therapeutic interventions.
- Understanding the different anatomical variations aids in surgical planning and management.
Abstract:
The authors reported two cases of gastric volvulus in female and male babies respectively 5 and 3 months old. Patients presented functional symptoms as vomiting, regurgitation. Baryum meal X ray allows to make diagnosis in meso-axial and organoxial varieties. They showed the interest to evocate this diagnosis related to an infant vomiting's diagnosis and discussed about therapeutic modality.