[A case of acute gastric volvulus in a child].
Gastric volvulus is an abnormal rotation of the stomach around its axis. The acute form is a surgical emergency, which doesn't tolerate any therapeutic delay. We report on a case in a young girl, revealed by painful epigastric mass and distended gastric bubble on abdominal X-ray. This case was been successfully treated by detorsion and gastropexy. The clinical picture of gastric volvulus is characterised by the Borchardt triad of symptoms: upper abdominal pain, vomiting and difficulty to pass a nasogastric tube. The gastrointestinal barium series and CT-scan help to confirm the diagnosis. As was demonstrated in this case, the treatment is surgical by reducing the volvulus and fixing the stomach to prevent recurrence.
Rantomalala
H Y H
HY
CHU-HJRA, BP 4150, 101 Antananarivo Madagascar.
Rajaonarivony
T
T
Rakototiana
A F
AF
Rakotoarisoa
A J C
AJ
Ramarosandratana
J L
JL
Razakatiana
L
L
Razafindramboa
H M
HM
Ranaivozanany
A
A
D015746:Abdominal Pain / Q000209:etiology; D000208:Acute Disease; D002675:Child, Preschool; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal; D013277:Stomach Volvulus / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000209:etiology