Gastric volvulus

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Acute abdominal pain, tenderness and dyspnea

Patient Data

Age: 4 years old
Gender: Male
Fluoroscopy

The stomach twists along its own longitudinal axis giving rise to organoaxial volvulus.

Case Discussion

Organoaxial volvulus is the most common gastric volvulus and occurs secondary to diaphragmatic trauma or paraesophageal hernia. When the stomach twists along its longitudinal axis the esophago-gastric junction lies below the pyloro-duodenal junction.

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