Neonatal Med.  2021 Feb;28(1):36-40. 10.5385/nm.2021.28.1.36.

Two Cases of Gastric Volvulus in Neonates

• Kim MY
• Park MS
• Lee JH

• KMID: 2513357
• DOI: http://doi.org/10.5385/nm.2021.28.1.36

Abstract

Gastric volvulus in neonates is an extremely uncommon disorder, which is challenging to diagnose because of its non-specific clinical manifestations. Early diagnosis of gastric volvulus is important to avoid life-threatening complications, such as gastric ischemia, necrosis, and perforation. A definitive diagnosis could be made with radiological upper gastrointestinal series. In this report, we present two cases of neonate gastric volvulus, which were confirmed by radiological upper gastrointestinal series, and the patients underwent surgical treatment.

Keyword

Gastric volvulus; Neonate; Infant, newborn

Figure

• 

  Figure 1. Case 1. Simple supine abdominal X-ray. (A) Gaseous distension of the bowel loops and suspicious abnormal curvature of the gaseous stomach along with a double bubble sign were seen (black arrows: the first bubble in the distal portion of the stomach [suspicious greater curvature]; white arrows: the second bubble). (B) Normal gastric curvature after surgery.

• 

  Figure 2. Case 1. Upper gastrointestinal series showing a distended stomach with the abnormal superior position of the greater curvature. (A) Frontal view (B) Lateral view.

• 

  Figure 3. Case 2. Upper gastrointestinal series showing the abnormal superior position of the greater curve. (A) Frontal view (B) Lateral view.

• 

  Figure 4. Schematic representation of gastric volvulus. (A) Organoaxial type. (B) Mesenteroaxial type.

Reference

1. Cribbs RK, Gow KW, Wulkan ML. Gastric volvulus in infants and children. Pediatrics. 2008; 122:e752–62.

2. Duman L, Savas MC, Buyukyavuz BI, Akcam M, Sandal G, Aktas AR. Early diagnostic clues in neonatal chronic gastric volvulus. Jpn J Radiol. 2013; 31:401–4.

3. Trecroci I, Morabito G, Romano C, Salamone I. Gastric volvulus in children: a diagnostic problem: two case reports. J Med Case Rep. 2016; 10:138.

4. Choi SO, Park WH, Kang JS. Gastric volvulus in the newborn and infancy. Ann Surg Treat Res. 1986; 31:236–43.

5. Darani A, Mendoza-Sagaon M, Reinberg O. Gastric volvulus in children. J Pediatr Surg. 2005; 40:855–8.

6. Vaghela MM, Sinha AK, Kumar B, Kumar P. Chronic recurrent vomiting associated with primary gastric volvulus in infant: a case report and review of literature. Afr J Paediatr Surg. 2017; 14:12–4.

7. Akhtar A, Siddiqui FS, Sheikh AA, Sheikh AB, Perisetti A. Gastric volvulus: a rare entity case report and literature review. Cureus. 2018; 10:e2312.

8. Rashid F, Thangarajah T, Mulvey D, Larvin M, Iftikhar SY. A review article on gastric volvulus: a challenge to diagnosis and management. Int J Surg. 2010; 8:18–24.

9. da Costa KM, Saxena AK. Management and outcomes of gastric volvulus in children: a systematic review. World J Pediatr. 2019; 15:226–34.

10. El-Gohary MA, Etiaby A. Gastric volvulus in infants and children. Pediatric Surg Int. 1994; 9:486–8.

11. Chattopadhyay A. Neonatal gastric volvulus: another cause of “Mucousy baby” with gasless abdomen. Indian J Pediatr. 2010; 77:691–2.

12. Al-Salem AH. Intrathoracic gastric volvulus in infancy. Pediatr Radiol. 2000; 30:842–5.

13. Porcaro F, Mattioli G, Romano C. Pediatric gastric volvulus: diagnostic and clinical approach. Case Rep Gastroenterol. 2013; 7:63–8.

14. Park WH, Choi SO, Suh SJ. Pediatric gastric volvulus: experience with 7 cases. J Korean Med Sci. 1992; 7:258–63.

15. Singal AK, Patel R, Jain S, Gavhane J, Kadam NN. Laparoscopic management of neonatal gastric volvulus: a case report and review of the literature. Eur J Pediatr Surg. 2009; 19:191–3.

16. Al-Salem AH. Acute and chronic gastric volvulus in infants and children: who should be treated surgically? Pediatr Surg Int. 2007; 23:1095–9.