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KMID : 1037620210080020104
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Pediatric Emergency Medicine Journal
2021 Volume.8 No. 2 p.104 ~ p.107
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Acute primary gastric volvulus occurring after overeating in a 12-year-old girl
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Chung Young-Soo
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Abstract
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Gastric volvulus is a rare cause of recurrent abdominal pain or vomiting. This report presents a case of a 12-year-old girl with acute gastric volvulus and 2-hour history of epigastric pain after overeating. Computed tomography showed severe gastric distension without other abnormal findings. The gastric fluid decompressed through a nasogastric tube was approximately 4,000 mL in volume and non-bilious in color. Upper gastrointestinal series showed organo-axial volvulus without intestinal malrotation. Emergency laparotomy was performed. Because the color of stomach was pinkish, detorsion of the volvulus and gastropexy was performed. Postoperatively, the girl recovered uneventfully.
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KEYWORD
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Abdominal Pain, Adolescent, Gastric Dilatation, Laparotomy, Stomach Volvulus, Upper Gastrointestinal Tract
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