Early diagnostic clues in neonatal chronic gastric volvulus

Abstract

GV should be suspected in any newborn with non-bilious vomiting and epigastric distention. It is also important to focus on the clues in the plain radiographs. Gastric double bubble, abnormal gastric distention despite a nasogastric tube, distended stomach lying in a horizontal plane and an air-fluid level in the epigastrium must alert the physicians to the possibility of GV.

Gastric volvulus: a rare cause of gastric outlet obstruction in pediatric age

“…The symptoms are usually non-specific in chronic gastric volvulus. These patients often apply to the clinic with distention related to the eating, epigastric pain, vomiting, and weight loss [9]. Usually, anatomical defects are associated with the acute type.…”

“…In contrast study, it is usually detected a distended stomach lying in a horizontal and upright position. Some clues in the plain radiographs indicating gastric volvulus include air-fluid level in the epigastrium, abnormal gastric double-bubble sign and epigastric distention despite the presence of nasogastric tube [9]. Abdominal ultrasonography and upper gastrointestinal endoscopy may be not useful regarding the diagnosis [10].…”

Gastric volvulus in children - a diagnostic problem: two case reports

“…In the past decades, GV has been diagnosed by means of plain radiography [ 8 ]. Plain radiography findings, suggestive for GV, included the double bubble sign, abnormal gastric distension despite the presence of a nasogastric tube, a distended stomach lying in a horizontal plane, and a fluid level projecting into the epigastric region [ 9 ]. The “double bubble sign”, due to the appearance of two overlapping spherical images in the epigastrium, with elevation of the left hemidiaphragm, clearly displayed on conventional abdomen and chest X-ray, may indicate GV: diagnostic confirmation with a barium meal is usually required.…”

Two Cases of Gastric Volvulus in Neonates

“…수술 후 특별한 문제 없이 구토가 호전되어 퇴원하였으 며 12개월 동안의 추적 관찰 동안 재발 없이 정상적으로 성장과 발 달하였다. 고찰 위염전은 장축 혹은 단축을 따라 위가 180도 이상으로 회전하여 장 폐쇄를 일으키는 질환으로, 신생아에게서 발견되는 사례는 매우 흔치 않다2,5) . Berti의 부검 소견을 통해 1866년 위염전에 대한 첫 보 고가 있었으며, Berg가 1897년 횡경막 내장탈출과 위염전이 동반된…”