GASTRIC VOLVULUS: A Case Report and Literature Review
- 1 General Surgery, Parakou’s University Hospital Center, Parakou, Benin
- 2 Visceral Surgery, HKM National University Hospital Center, Cotonou, Benin
- 3 Pediatric Surgery, HKM National University Hospital Center, Cotonou, Benin
- 4 Radiology Department, Parakou’s University Hospital Center, Parakou, Benin
- 5 General Surgery, Parakou’s University Hospital Center, Parakou, Benin
Abstract
Background: Gastric volvulus is a rare surgical emergency that causes an upper digestive obstruction due to a rotation of the stomach greater than 180 ° . Observation: We report the case of a 2-year-old patient referred from a health care facility for incoercible vomiting. On admission, the clinical examination revealed that the condition started about 1 month back with poor general and nutritional condition. Pyloric stenosis was suspected but this hypothesis was rejected based on abdominal ultrasound. Further investigations were done with an abdominal X-ray and an upper gastrointestinal barium study which led to the conclusion of an organo-axial gastric volvulus. The patient died in the course of treatment. Conclusion: Gastric volvulus is an often-misunderstood condition. Upper gastrointestinal barium study remains the gold standard of diagnosis. Its management is surgical.
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