Diagnostic difficulty in mesenteroaxial gastric volvulus—A rare cause of acute abdomen in a child
نویسندگان
چکیده
The stomach is a relatively uncommon site of volvulus and mesenteroaxial is even rarer of the two types of gastric volvulus. Gastric volvulus occurs frequently in infants and older age group and is quite rare in adolescents. A 12-year-old male child presented to the casualty with acute abdominal pain in the epigastric region and was managed as acute pancreatitis. However, radiological evaluation later revealed an acute gastric volvulus and was immediately operated upon with favourable outcome. Acute gastric volvulus, although rare, should always be kept in the differential diagnosis of acute abdomen in children presenting with epigastric distension, pain, and non-bilious vomiting so as to help in early diagnosis and surgical management.
منابع مشابه
Acute mesenteroaxial gastric volvulus on computed tomography
SAJR March 2013 Vol. 17 No. 1 21 Gastric volvulus is a rare clinical entity, and a clinically relevant cause of acute abdominal pain in adults. It may prove to be a diagnostic dilemma for clinicians in view of the nonspecific clinical symptoms. The imaging diagnosis also remains challenging.[1] Abdominal computed tomography (CT) has been underutilised in the diagnosis of gastric volvulus in pre...
متن کاملSpontaneous Acute Mesenteroaxial Gastric Volvulus Diagnosed by Computed Tomography Scan in a Young Man
BACKGROUND Acute gastric volvulus is a surgical emergency that requires early recognition and treatment. Acute idiopathic mesenteroaxial gastric volvulus is a rare sub-type and there are few cases reported in children and there are even fewer reports in adults. CASE REPORT We report a rare case of a 23-year-old man who presented with a 1-day history of vomiting, epigastric pain, distention, a...
متن کاملDelayed diagnosis of intermittent mesenteroaxial volvulus of the stomach by computed tomography: a case report
INTRODUCTION Gastric volvulus is a rare condition. Presenting acutely, mesenteroaxial gastric volvulus has characteristic symptoms and may be easily detected with upper gastrointestinal contrast studies. In contrast, subacute, intermittent cases present with intermittent vague symptoms from episodic twisting and untwisting. Imaging in these cases is only useful if performed in the symptomatic i...
متن کاملA Rare Cause for Acute Abdomen: Gastric Volvulus- Case Repo
Numerous patients use to refer to emergency rooms everyday due to abdominal pain all over the world. One of the rare conditions, among the several etiologies in these patients, is gastric volvulus. This pathology, which occurs via rotation of the stomach around its own axis more than 1800, may cause acute abdomen as well as may be asympthomatic [1]. Diaphragmatic hernia, which is suggested as a...
متن کاملWandering spleen, gastric and pancreatic volvulus and right-sided descending and sigmoid colon.
Wandering spleen is a rare condition, characterized by a mobile spleen that is attached only by an elongated vascular pedicle, allowing it to migrate to any part of the abdomen or pelvis. Mesenteroaxial gastric volvulus usually occurs in children and may be associated with wandering spleen. Both entities result from abnormal laxity or absence of the peritoneal attachments due to abnormal fusion...
متن کامل