• Arch Pediatr · Dec 2005

    Case Reports

    [A case of acute gastric volvulus in a child].

    • H Y H Rantomalala, T Rajaonarivony, A F Rakototiana, A J C Rakotoarisoa, J L Ramarosandratana, L Razakatiana, H M Razafindramboa, and A Ranaivozanany.
    • CHU-HJRA, BP 4150, 101 Antananarivo Madagascar.
    • Arch Pediatr. 2005 Dec 1;12(12):1726-8.

    AbstractGastric volvulus is an abnormal rotation of the stomach around its axis. The acute form is a surgical emergency, which doesn't tolerate any therapeutic delay. We report on a case in a young girl, revealed by painful epigastric mass and distended gastric bubble on abdominal X-ray. This case was been successfully treated by detorsion and gastropexy. The clinical picture of gastric volvulus is characterised by the Borchardt triad of symptoms: upper abdominal pain, vomiting and difficulty to pass a nasogastric tube. The gastrointestinal barium series and CT-scan help to confirm the diagnosis. As was demonstrated in this case, the treatment is surgical by reducing the volvulus and fixing the stomach to prevent recurrence.

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