Abstract
Background: Gastric volvulus is a rare surgical emergency that causes an upper digestive obstruction due to a rotation of the stomach greater than 180°. Observation: We report the case of a 2-year-old patient referred from a health care facility for incoercible vomiting. On admission, the clinical examination revealed that the condition started about 1 month back with poor general and nutritional condition. Pyloric stenosis was suspected but this hypothesis was rejected based on abdominal ultrasound. Further investigations were done with an abdominal X-ray and an upper gastrointestinal barium study which led to the conclusion of an organo-axial gastric volvulus. The patient died in the course of treatment. Conclusion: Gastric volvulus is an often-misunderstood condition. Upper gastrointestinal barium study remains the gold standard of diagnosis. Its management is surgical.
Highlights
The gastric volvulus is an upper digestive obstruction due to an abnormal rotation of the stomach of more than 180 ̊ [1]
Observation: We report the case of a 2-year-old patient referred from a health care facility for incoercible vomiting
Further investigations were done with an abdominal X-ray and an upper gastrointestinal barium study which led to the conclusion of an organo-axial gastric volvulus
Summary
The gastric volvulus is an upper digestive obstruction due to an abnormal rotation of the stomach of more than 180 ̊ [1]. Acute gastric volvulus is a diagnostic and therapeutic emergency. Its incidence is unknown due to the possibility of a chronic form [2]. Its clinical presentation is not very specific [3] and its diagnosis is essentially based on radiological exploration. We report a case of gastric volvulus diagnosed in a child, followed by a review of the literature
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