[Gastric volvulus in children].
BACKGROUND
Gastric volvulus in children is rare and can be life-threatening if not recognised in time.


METHODS
A 3.5-year-old boy presented to his GP with severe, non-bilious vomiting, abdominal distension and abdominal pain. Additional diagnostic tests showed hypochloraemic alkalosis and abdominal ultrasonography suggested gastric volvulus. A barium study showed slow passage of contrast into the duodenum combined with craniomedial displacement of the duodenum. This image matches that of mesenteroaxial gastric volvulus. The diagnosis was confirmed during surgery and gastropexy was successfully performed.


CONCLUSIONS
The diagnosis of gastric volvulus can be difficult. Easily accessible additional diagnostics in the form of ultrasonography, possibly followed by a barium study, may be helpful.
Tergooi Ziekenhuizen, afd. Kindergeneeskunde, Blaricum.
C A M Karlijn
CA
van Balkom
Sjoerd A
SA
de Beer
Michiel  P
M
van Wijk
Frans  B
F
Plötz
D015746:Abdominal Pain / Q000175:diagnosis / Q000601:surgery; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D013277:Stomach Volvulus / Q000175:diagnosis* / Q000601:surgery; D014839:Vomiting / Q000175:diagnosis / Q000209:etiology