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J Korean Soc Emerg Med > Volume 26(1); 2015 > Article
Journal of The Korean Society of Emergency Medicine 2015;26(1): 95-98.
A Case of Mesentero-axial Gastric Volvulus Presenting as Recurrent Vomiting of a Children
Chan Young Koh
Department of Emergency Medicine, College of Medicine, Dankook University, Cheonan, Korea. suepunk@naver.com
ABSTRACT
Acute gastric volvulus in children is a rare condition, but a potentially life-threatening cause of upper gastrointestinal obstruction requiring prompt diagnosis and treatment. However, the symptoms are ambiguous, so that it can be easily misdiagnosed. We report on the case of a 3-year-old boy patient with recurrent vomiting despite conservative therapy. Findings of a bedside ultrasonography and upper gastro-intestinal contrast study showed mesentero-axial gastric volvulus without adjacent organ abnormality. He was managed with endoscopic gastropexy and was discharged without complication.
Key words: Stomach volvulus, Children, Vomiting, Ultrasonography
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