title: Acute mesenteroaxial gastric volvulus in an infant: a case report.
abstract: Only 52 cases of gastric volvulus have been reported in children and infants. The pathophysiology of the condition relates to an abnormal rotation of the stomach. The authors report a case of an 11-month-old infant who presented with an 8-hour history of retching and obtundation. Abdominal distension and left upper-quadrant tenderness were the predominant physical findings. A diagnosis of mesenteroaxial gastric volvulus with eventration of the left hemidiaphram was made by means of plain-films and an upper gastrointestinal series. The child underwent laparotomy and gastrostomy, made a smooth recovery and was well 36 months postoperatively.
authors.affiliation: Department of Surgery, Fort McMurray Regional Hospital, Alta.
authors.forename: W
authors.initials: W
authors.lastname: Brzezinski
authors.forename: M M
authors.initials: MM
authors.lastname: Laskin
authors.forename: K S
authors.initials: KS
authors.lastname: Wong
mesh_terms: D000208:Acute Disease; D005774:Gastrostomy; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D013277:Stomach Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery