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Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant
Author(s) -
Anagnostara Athina,
Koumanidou Chrissoula,
Vakaki Marina,
Manoli Eleni,
Kakavakis Konstantinos
Publication year - 2003
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10182
Subject(s) - medicine , hypertrophic pyloric stenosis , vomiting , stomach , gastric volvulus , pyloric stenosis , abdominal distension , upper gastrointestinal series , volvulus , distension , differential diagnosis , physical examination , surgery , radiology , gastroenterology , pathology
Chronic secondary mesenteroaxial gastric volvulus associated with hypertrophic pyloric stenosis has rarely been mentioned in the general medical literature. We report the case of a 2‐month‐old boy whose clinical symptoms, which included distension of the stomach and projectile vomiting, suggested the diagnosis of hypertrophic pyloric stenosis but who was later diagnosed with chronic secondary mesenteroaxial gastric volvulus. Sonographic examination revealed findings consistent with a rotated stomach, and subsequent plain chest radiography demonstrated a left diaphragmatic eventration. An upper gastrointestinal series radiographic examination with barium contrast enhancement confirmed the diagnosis of mesenteroaxial gastric volvulus. Surgery was performed, and the boy recovered well. A follow‐up sonographic examination performed 3 months post‐operatively revealed no abnormalities. This case demonstrates that primary or secondary gastric volvulus, although rare in children, should be considered in the differential diagnosis of pediatric patients with a history of vomiting. © 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:383–386, 2003