title: [Gastric volvulus in children: five case reports].
abstract: Gastric volvulus is an abnormal rotation of all or a part of the stomach around one of its axes. It is a rare cause of intestinal obstruction in children. This anomaly can be primary, due to abnormalities of the gastric ligaments, or secondary to other congenital malformations. We report on the cases of five children treated between January 1994 and December 2011, four boys and one girl, with a medium age of 7 months. Diagnosis was based on clinical features, particularly in the upper gastrointestinal Rx contrast study, which confirmed the diagnosis. Four out of the five children underwent laparoscopic surgery with fixation of the stomach. A diaphragmatic hernia was associated in one case. Antireflux surgery was performed in three cases, and a diaphragmatic defect was closed in one case. The follow-up was uneventful after a medium period of 7 years.
  
  
  CONCLUSIONS
  good knowledge of this anomaly is the guarantee of early diagnosis and optimum treatment to ameliorate the prognosis.
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie. Electronic address: amineks@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Ksia
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: B
authors.initials: B
authors.lastname: Haggui
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: S
authors.initials: S
authors.lastname: Mosbahi
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: K
authors.initials: K
authors.lastname: Maazoun
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: L
authors.initials: L
authors.lastname: Sahnoun
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: J
authors.initials: J
authors.lastname: Chahed
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: I
authors.initials: I
authors.lastname: Krichene
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Mekki
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Belghith
authors.affiliation: Service de chirurgie pédiatrique, hôpital Fattouma Bourguiba de Monastir, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Nouri
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D013277:Stomach Volvulus / Q000175:diagnosis / Q000601:surgery