RESUMEN

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.

Asunto(s)

Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Vólvulo Gástrico/diagnóstico , Vólvulo Gástrico/cirugía , Dolor Abdominal/etiología , Enfermedad Aguda , Preescolar , Femenino , Humanos , Intubación Gastrointestinal , Tomografía Computarizada por Rayos X , Vómitos/etiología