Un cas de volvulus aigu de l'estomac chez l'enfant |
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Authors: | HYH Rantomalala T Rajaonarivony AF Rakototiana AJC Rakotoarisoa JL Ramarosandratana L Razakatiana HM Razafindramboa A Ranaivozanany |
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Institution: | CHU-HJRA, BP 4150, 101 Antananarivo Madagascar. |
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Abstract: | Gastric volvulus is an abnormal rotation of the stomach around its axis. The acute form is a surgical emergency, which doesn't tolerate any therapeutic delay. We report on a case in a young girl, revealed by painful epigastric mass and distended gastric bubble on abdominal X-ray. This case was been successfully treated by detorsion and gastropexy. The clinical picture of gastric volvulus is characterised by the Borchardt triad of symptoms: upper abdominal pain, vomiting and difficulty to pass a nasogastric tube. The gastrointestinal barium series and CT-scan help to confirm the diagnosis. As was demonstrated in this case, the treatment is surgical by reducing the volvulus and fixing the stomach to prevent recurrence. |
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