• Ned Tijdschr Geneeskd · Jan 2015

    Case Reports

    [Gastric volvulus in children].

    • C A M Karlijn van Balkom, Sjoerd A de Beer, Michiel P van Wijk, and Frans B Plötz.
    • Tergooi Ziekenhuizen, afd. Kindergeneeskunde, Blaricum.
    • Ned Tijdschr Geneeskd. 2015 Jan 1; 159: A8641.

    BackgroundGastric volvulus in children is rare and can be life-threatening if not recognised in time.Case DescriptionA 3.5-year-old boy presented to his GP with severe, non-bilious vomiting, abdominal distension and abdominal pain. Additional diagnostic tests showed hypochloraemic alkalosis and abdominal ultrasonography suggested gastric volvulus. A barium study showed slow passage of contrast into the duodenum combined with craniomedial displacement of the duodenum. This image matches that of mesenteroaxial gastric volvulus. The diagnosis was confirmed during surgery and gastropexy was successfully performed.ConclusionThe diagnosis of gastric volvulus can be difficult. Easily accessible additional diagnostics in the form of ultrasonography, possibly followed by a barium study, may be helpful.

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