Fig. 1. A 6-year-old girl with mesenteroaxial gastric volvulus. A. Erect simple abdomen radiography shows two large air fluid levels (arrows) in the left upper quadrant of the abdomen. B. UGI examination shows superomedially located gastric antrum with beak appearance (arrow) and inferiorly located gastric fundus. C. The gastric antrum (thick arrow) is seen at the superoanterior side of the esophagogastric junction (thin arrow) on transverse ultrasonographic scan. The gastric cardiac portion(thin arrow) connected with esophagogastric junction is crossing the gastric antrum (thick arrow) on a more inferior oblique transverse ultrasonographic scan. D. The gastric antrum (thick arrow) is seen at the superoanterior side of the esophagogastric junction (thin arrow) on axial CT images. E. The gastric cardiac portion (thin arrow) connected with esophagogastric junction is crossing the gastric antrum (thick arrow) on a more inferior image. F. Follow-up UGIS shows the normal gastric antral location and good passage of the contrast medium to the duodenum.
Address reprint requests to :Gastric volvulus is a rare condition, and it is classified as the organoaxial or mesentericaxial type according to the axis of rotation. We experienced 1 case of pediatric recurrent mesenteroaxial gastric volvulus and we report here the ultrasonographic and CT findings.
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