Learning objectives
To recall and illustrate a rare but potentially fatal pathology of the GI tract in the Pediatric population
Background
Definition – Gastric volvulus can be defined as an abnormal rotation (>180o) of the stomach along its longitudinal axis (organoaxial Fig. 1 ) or through a short axis which joins the mid lesser and great curvatures (mesenteroaxial Fig. 2 ) .
Sometimes mixed findings of both types can be present.
The result is a closed loop obstruction which can lead to incarceration and strangulation.
The following ischemia and necrosis result in perforation and peritonitis,
with a potentially fatal outcome.
The first reported case in adults...
Conclusion
Gastric volvulus in children can present as a clinical emergency requiring prompt surgical treatment to avoid irreversible gastrointestinal damage and death.
The Radiologist has a vital role in its diagnosis,
and must be able to recognize the typical findings in the upper GI series.
References
1 - Gourgiotis S,
et al.
“Acute Gastric Volvulus: Diagnosis and Management over 10 Years” Digestive Surgery 2006; 23:169-172
2 - Baert A,
et al “Radiological Imaging of the Digestive Tract in Infants and Children” Springer 2008; 115-116
3 - Solórzano J,
et al “Vólvulo gástrico.
Presentación de un caso” Cirurgia Pediátrica 2006; 19:247-249
4 - Cribbs R,
Gow K,
Wulkan M,
“Gastric Volvulus in Infants and Children” Pediatrics 2008; 122; e752-e758
5 - Darani A,
et al “Gastric volvulus in children” Journal of Pediatric...
