title: [A case of acute gastric volvulus in a child].
abstract: 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.
authors.affiliation: CHU-HJRA, BP 4150, 101 Antananarivo Madagascar.
authors.forename: H Y H
authors.initials: HY
authors.lastname: Rantomalala
authors.forename: T
authors.initials: T
authors.lastname: Rajaonarivony
authors.forename: A F
authors.initials: AF
authors.lastname: Rakototiana
authors.forename: A J C
authors.initials: AJ
authors.lastname: Rakotoarisoa
authors.forename: J L
authors.initials: JL
authors.lastname: Ramarosandratana
authors.forename: L
authors.initials: L
authors.lastname: Razakatiana
authors.forename: H M
authors.initials: HM
authors.lastname: Razafindramboa
authors.forename: A
authors.initials: A
authors.lastname: Ranaivozanany
mesh_terms: 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