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Gastric Volvulus
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Twisting of all or part of stomach on its long or short axis by at least 180°
            • Organoaxial volvulus (OAV): Twisting along gastric long axis [i.e., line drawn from gastroesophageal (GE) junction to pylorus]
            • Mesenteroaxial volvulus (MAV): Twisting along short axis (perpendicular to long axis)
            • Mixed volvulus: Rotation along both long & short axes
            • Twisting of stomach on axes < 180°: Gastric torsion

          IMAGING

          • Radiographic Findings

            • Fluoroscopic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                Selected References

                                1. Garel C et al: Diagnosis of pediatric gastric, small-bowel and colonic volvulus. Pediatr Radiol. 46(1):130-8, 2016
                                2. Millet I et al: Computed tomography findings of acute gastric volvulus. Eur Radiol. 24(12):3115-22, 2014
                                3. Joshi M et al: Gastric volvulus in children: experience of 6 years at a tertiary care centre. Afr J Paediatr Surg. 7(1):2-4, 2010
                                4. Visrutaratna P et al: Clinical image. Intrathoracic gastric volvulus. Pediatr Radiol. 40(2):230, 2010
                                5. Gerstle JT et al: Gastric volvulus in children: lessons learned from delayed diagnoses. Semin Pediatr Surg. 18(2):98-103, 2009
                                6. Cribbs RK et al: Gastric volvulus in infants and children. Pediatrics. 122(3):e752-62, 2008
                                7. Oh SK et al: Gastric volvulus in children: the twists and turns of an unusual entity. Pediatr Radiol. 38(3):297-304, 2008
                                8. Upadhyaya VD et al: Acute gastric volvulus in neonates - a diagnostic dilemma. Eur J Pediatr Surg. 18(3):188-91, 2008
                                9. Al-Salem AH: Acute and chronic gastric volvulus in infants and children: who should be treated surgically? Pediatr Surg Int. 23(11):1095-9, 2007
                                10. Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
                                11. Darani A et al: Gastric volvulus in children. J Pediatr Surg. 40(5):855-8, 2005
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Twisting of all or part of stomach on its long or short axis by at least 180°
                                          • Organoaxial volvulus (OAV): Twisting along gastric long axis [i.e., line drawn from gastroesophageal (GE) junction to pylorus]
                                          • Mesenteroaxial volvulus (MAV): Twisting along short axis (perpendicular to long axis)
                                          • Mixed volvulus: Rotation along both long & short axes
                                          • Twisting of stomach on axes < 180°: Gastric torsion

                                        IMAGING

                                        • Radiographic Findings

                                          • Fluoroscopic Findings

                                            • CT Findings

                                              • MR Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              Selected References

                                                              1. Garel C et al: Diagnosis of pediatric gastric, small-bowel and colonic volvulus. Pediatr Radiol. 46(1):130-8, 2016
                                                              2. Millet I et al: Computed tomography findings of acute gastric volvulus. Eur Radiol. 24(12):3115-22, 2014
                                                              3. Joshi M et al: Gastric volvulus in children: experience of 6 years at a tertiary care centre. Afr J Paediatr Surg. 7(1):2-4, 2010
                                                              4. Visrutaratna P et al: Clinical image. Intrathoracic gastric volvulus. Pediatr Radiol. 40(2):230, 2010
                                                              5. Gerstle JT et al: Gastric volvulus in children: lessons learned from delayed diagnoses. Semin Pediatr Surg. 18(2):98-103, 2009
                                                              6. Cribbs RK et al: Gastric volvulus in infants and children. Pediatrics. 122(3):e752-62, 2008
                                                              7. Oh SK et al: Gastric volvulus in children: the twists and turns of an unusual entity. Pediatr Radiol. 38(3):297-304, 2008
                                                              8. Upadhyaya VD et al: Acute gastric volvulus in neonates - a diagnostic dilemma. Eur J Pediatr Surg. 18(3):188-91, 2008
                                                              9. Al-Salem AH: Acute and chronic gastric volvulus in infants and children: who should be treated surgically? Pediatr Surg Int. 23(11):1095-9, 2007
                                                              10. Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
                                                              11. Darani A et al: Gastric volvulus in children. J Pediatr Surg. 40(5):855-8, 2005