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Radiological Case of the Month

Radiological Case of the Month Abstract Clinical History.—This 6 4/12-year-old girl was admitted to the National Children's Hospital because of upper abdominal distension and discomfort of 3 weeks' duration. The patient could not take a large meal or fluid. Vomiting was not observed. Upper abdominal distension was not relieved by belching, but by alterations in position. Progressive distension of the upper abdomen gradually developed, and she complained of intractable retching. Physical Examination.—The patient was in good nutritional condition. The only outstanding physical finding was marked distension of the upper part of the abdomen with the lower part remaining less distended. Percussion of the abdomen revealed marked meteorism. It was not easy to pass a stomach-tube and to relieve the abdominal distension. Because of a possibility of mechanical bowel obstruction, radiological studies were carried out (Fig 1 through 4). Denouement and Discussion Volvulus of the Stomach Volvulus of the stomach is a rare condition.1,2 References 1. Dalgaard JB: Volvulus of the stomach: Case report and survey . Acta Chir Scand 103:131-153, 1952. 2. Spriggs EA, Marxer, OA: Kinking, rotation and twisting of volvulus . Arch Klin Chir 74:243-260, 1904. 3. Caffey J: Pediatric X-ray Diagnosis , ed 5. Chicago, Year Book Medical Publishers, 1967. 4. Singleton AC: Chronic gastric volvulus . Radiology 34:53-61, 1940.Crossref 5. Borchardt M: Zur Pathologie und Therapie des Magen-volvulus . Arch Klin Chir 74:243-260, 1904. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Radiological Case of the Month

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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1970 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1970.02100110099012
Publisher site
See Article on Publisher Site

Abstract

Abstract Clinical History.—This 6 4/12-year-old girl was admitted to the National Children's Hospital because of upper abdominal distension and discomfort of 3 weeks' duration. The patient could not take a large meal or fluid. Vomiting was not observed. Upper abdominal distension was not relieved by belching, but by alterations in position. Progressive distension of the upper abdomen gradually developed, and she complained of intractable retching. Physical Examination.—The patient was in good nutritional condition. The only outstanding physical finding was marked distension of the upper part of the abdomen with the lower part remaining less distended. Percussion of the abdomen revealed marked meteorism. It was not easy to pass a stomach-tube and to relieve the abdominal distension. Because of a possibility of mechanical bowel obstruction, radiological studies were carried out (Fig 1 through 4). Denouement and Discussion Volvulus of the Stomach Volvulus of the stomach is a rare condition.1,2 References 1. Dalgaard JB: Volvulus of the stomach: Case report and survey . Acta Chir Scand 103:131-153, 1952. 2. Spriggs EA, Marxer, OA: Kinking, rotation and twisting of volvulus . Arch Klin Chir 74:243-260, 1904. 3. Caffey J: Pediatric X-ray Diagnosis , ed 5. Chicago, Year Book Medical Publishers, 1967. 4. Singleton AC: Chronic gastric volvulus . Radiology 34:53-61, 1940.Crossref 5. Borchardt M: Zur Pathologie und Therapie des Magen-volvulus . Arch Klin Chir 74:243-260, 1904.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Dec 1, 1970

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