Manikoth, P.; Nair, P. A. K.; Zachariah, N.; Sajwani, M. J.
September 2004
Archives of Disease in Childhood -- Fetal & Neonatal Edition;Sep2004, Vol. 89 Issue 5, pF388
Academic Journal
This article presents the case of a 5 day old baby boy with persistent bilious vomiting. He was referred to the neonatal unit. He passed normal stools and his abdomen was soft and non-tender. A plain radiograph of the chest and abdomen showed that the dome of the left diaphragm was elevated, suggesting eventration. Acute gastric volvulus is a rare cause of persistent vomiting in infancy or childhood and is due to an abnormal rotation of one part of the stomach around another. There are two main anatomical forms of gastric volvulus. In the more common, organoaxial volvulus, the stomach rotates around an axis connecting the cardia and the pylorus, and in the less common, mesenteroaxial volvulus, the stomach rotates around a transverse axis connecting the middle of the greater and lesser curvatures.


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