Fig. 8: Mesenteroaxial Volvulus - vertical stomach with pylorus (forming a beak) projecting above the gastroesophageal junction. Anterosuperior rotation of the antrum, with the posterior surface of the stomach lying anteriorly.
References: Cribbs R, Gow K, Wulkan M " Gastric Volvulus in Infants and Children" Pediatrics 2008; 122; e752-e758
Fig. 7: same patient as in fig.6; 2 week study post-surgery (gastropexy) shows normal position of the stomach and pylorus with moderate duodenal distension
Fig. 6: 18 month girl with acute presentation with similar findings of gastric shape and position as the previous patient.
Fig. 5: Same patient as in fig 3, with opacified downard facing pylorus.
Fig. 4: Same patient as in fig. 3, lateral view
Fig. 3: 2 year old boy with an history suggestive of subacute gastric volvulus, symptomatic at the time of examination. Typical findings include a horizontally placed stomach with a downward facing pylorus and a great curvature projecting above the lesser curvature. Opacified small-bowell. Surgery was performed short after.
Fig. 2: Mesenteroaxial Volvulus of the Stomach
Fig. 1: Organoaxial Volvulus of the Stomach