Pediatr Emerg Med J.  2021 Dec;8(2):104-107. 10.22470/pemj.2021.00388.

Acute primary gastric volvulus occurring after overeating in a 12-year-old girl

• Chung YS

• KMID: 2524003
• DOI: http://doi.org/10.22470/pemj.2021.00388

Abstract

Gastric volvulus is a rare cause of recurrent abdominal pain or vomiting. This report presents a case of a 12-year-old girl with acute gastric volvulus and 2-hour history of epigastric pain after overeating. Computed tomography showed severe gastric distension without other abnormal findings. The gastric fluid decompressed through a nasogastric tube was approximately 4,000 mL in volume and non-bilious in color. Upper gastrointestinal series showed organo-axial volvulus without intestinal malrotation. Emergency laparotomy was performed. Because the color of stomach was pinkish, detorsion of the volvulus and gastropexy was performed. Postoperatively, the girl recovered uneventfully.

Keyword

Abdominal Pain; Adolescent; Gastric Dilatation; Laparotomy; Stomach Volvulus; Upper Gastrointestinal Tract

Figure

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  Fig. 1. Plain radiographs showing a gastric distension (supine, A) and air-fluid level (upright, B).

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  Fig. 2. Computed tomography scans (axial, A; coronal, B) showing a gastric distension without signs of ischemia, mass or inflammatory focus.

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  Fig. 3. Upper gastrointestinal series showing a delayed gastric emptying with organo-axial volvulus. A and B are the images of 7 and 10 minutes after administration of contrast material, respectively. B depicts an inversion of the greater and lesser curvatures, and the normal positions of the pylorus (arrow) and duodenojejunal junction (asterisk).

Reference

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