Acute organoaxial gastric volvulus—A dangerous twist

Chinnappan, Justine; Hussain, Murtaza; Deliwala, Smit; Bachuwa, Ghassan

doi:10.1002/ccr3.5785

Cited by 3 publications

(2 citation statements)

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“…It can lead gastric wall ischemia, perforation, and necrosis. If it is not treated by surgery in time, the mortality rate can range from 30–50% [ 3 ]. Clinical presentations of acute gastric volvulus are atypical and often mimic other abdominal conditions such as gastritis, gastroesophageal reflux, gastric dilation, and pancreatitis.…”

Section: Introductionmentioning

confidence: 99%

An acute gastric volvulus in a child with congenital left diaphragmatic hernia: a case report

Yang,

Xie,

Wang

et al. 2024

BMC Pediatr

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Background Acute complete gastric volvulus is a rare and life-threatening disease, which is prone to gastric wall ischemia, perforation, and necrosis. If it is not treated by surgery in time, the mortality rate can range from 30 to 50%. Clinical presentations of acute gastric volvulus are atypical and often mimic other abdominal conditions such as gastritis, gastroesophageal reflux, gastric dilation, and pancreatitis. Imaging studies are crucial for diagnosis, with barium meal fluoroscopy being the primary modality for diagnosing gastric volvulus. Cases of acute gastric volvulus diagnosed by ultrasound are rarely reported. Case presentation We reported a rare case of acute gastric volvulus in a 4-year-old Chinese girl who presented with vomiting and abdominal pain. Ultrasound examination revealed the “whirlpool sign” in the cardia region, raising suspicion of gastric volvulus. Diagnosis was confirmed by X-ray barium meal fluoroscopy, which indicated left-sided diaphragmatic hernia and obstruction at the cardia region. Surgical intervention confirmed our suspicion of acute complete gastric volvulus combined with diaphragmatic hernia. Conclusion In this case, we reported an instance of acute complete gastric volvulus. Ultrasound revealed a “whirlpool sign” in the cardia, which is likely to be a key sign for the diagnosis of complete gastric volvulus.

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Section: Introductionmentioning

confidence: 99%

An acute gastric volvulus in a child with congenital left diaphragmatic hernia: a case report

Yang,

Xie,

Wang

et al. 2024

BMC Pediatr

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“…Заворот желудка (ЗЖ) впервые был описан Berti в 1886 году и может встречаться в любом возрасте [1][2][3]. Важную роль в развитии заворотов играют заболевания диафрагмы [4][5][6], перигастрит, язвенная болезнь желудка, гастроптоз, атония желудка, рубцовая деформация и опухоли желудка [7]. Развитие заворота могут спровоцировать обильная еда, рвота, травмы живота, физическая нагрузка [8].…”

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X-ray diagnostics of the chronic gastric volvulus: a series of cases

Mikhaylov,

Abdulkhakova,

Abdulkhakov

et al. 2023

Lučevaâ diagn. ter.

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INTRODUCTION: Volvulus of the stomach is a rare disease that can lead to serious consequences, including death of the patients. Among all volvulus of various parts of the gastrointestinal tract, volvulus of the stomach corresponds to 0.5% of cases.Chronic volvulus, while being detected timely, can be successfully treated conservatively or surgically without leading to life threatening conditions. So the diagnosis of chronic gastric volvulus is an important and topical problem.OBJECTIVE: The aim of the study was the analysis of radiological data of patients with gastric volvulus.MATERIALS AND METHODS: Results of chest, esophagus and stomach X-ray examination of 23 patients with gastric volvulus were analyzed.RESULTS: The results of X-ray examination of 23 patients with gastric volvulus are described. In 9 cases organo-axial volvulus of the stomach was detected, in 12 — mesenteric-axial volvulus, 2 patients had a combined type of inversion. In 3 cases chronic volvulus was combined with total hiatal hernia, in 6 — with gastric tumors, in 9 cases — with perigastritis, in 5 patients volvulus was observed after abdominal surgery.DISCUSSION: In our observations, most patients were diagnosed with chronic volvulus of the stomach along the transverse axis, and longitudinal was less common. We also observed a rare combined gastric volvulus. The development of volvulus in our observations was provoked by perigastritis, gastric tumors, surgical interventions and total hiatal herniaal signs.Complaints of patients and the clinical signs were non-specific, in some cases the disease was asymptomatic. X-ray examination of the esophagus and stomach showed high efficiency in the diagnosis of various types of gastric volvulus.CONCLUSION: X-ray allows to reliably diagnose various types of gastric volvulus.

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