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Pediatrics
Diagnosis
Gastrointestinal
Upper Gastrointestinal Abnormalities Typically Seen in Infants and Young Children
Gastric Volvulus
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
Garel C et al: Diagnosis of pediatric gastric, small-bowel and colonic volvulus. Pediatr Radiol. 46(1):130-8, 2016
Millet I et al: Computed tomography findings of acute gastric volvulus. Eur Radiol. 24(12):3115-22, 2014
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
Visrutaratna P et al: Clinical image. Intrathoracic gastric volvulus. Pediatr Radiol. 40(2):230, 2010
Gerstle JT et al: Gastric volvulus in children: lessons learned from delayed diagnoses. Semin Pediatr Surg. 18(2):98-103, 2009
Cribbs RK et al: Gastric volvulus in infants and children. Pediatrics. 122(3):e752-62, 2008
Oh SK et al: Gastric volvulus in children: the twists and turns of an unusual entity. Pediatr Radiol. 38(3):297-304, 2008
Upadhyaya VD et al: Acute gastric volvulus in neonates - a diagnostic dilemma. Eur J Pediatr Surg. 18(3):188-91, 2008
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
Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
Darani A et al: Gastric volvulus in children. J Pediatr Surg. 40(5):855-8, 2005
Related Anatomy
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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
Garel C et al: Diagnosis of pediatric gastric, small-bowel and colonic volvulus. Pediatr Radiol. 46(1):130-8, 2016
Millet I et al: Computed tomography findings of acute gastric volvulus. Eur Radiol. 24(12):3115-22, 2014
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
Visrutaratna P et al: Clinical image. Intrathoracic gastric volvulus. Pediatr Radiol. 40(2):230, 2010
Gerstle JT et al: Gastric volvulus in children: lessons learned from delayed diagnoses. Semin Pediatr Surg. 18(2):98-103, 2009
Cribbs RK et al: Gastric volvulus in infants and children. Pediatrics. 122(3):e752-62, 2008
Oh SK et al: Gastric volvulus in children: the twists and turns of an unusual entity. Pediatr Radiol. 38(3):297-304, 2008
Upadhyaya VD et al: Acute gastric volvulus in neonates - a diagnostic dilemma. Eur J Pediatr Surg. 18(3):188-91, 2008
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
Liu HT et al: Wandering spleen: an unusual association with gastric volvulus. AJR Am J Roentgenol. 188(4):W328-30, 2007
Darani A et al: Gastric volvulus in children. J Pediatr Surg. 40(5):855-8, 2005
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