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Early diagnostic clues in neonatal chronic gastric volvulus
Early diagnostic clues in neonatal chronic gastric volvulus
- Source :
- Japanese journal of radiology. 31(6)
- Publication Year :
- 2013
-
Abstract
- Neonatal gastric volvulus (GV) is a rare clinical entity with a challenging diagnosis. In this study, we aimed to identify clinical and radiological findings to aid in early diagnosis in neonatal GV. The medical records of all neonates with GV were retrospectively reviewed. Diagnosis was made based on clinical findings and radiological images, and was documented by an upper gastrointestinal (UGI) contrast study. A total of eight neonates were included in the study. The most common clinical presentations were non-bilious vomiting and epigastric distention. The findings highly suggestive for GV in plain radiographs include gastric double bubble, abnormal gastric distention despite a nasogastric tube, distended stomach lying in a horizontal plane and an air-fluid level in the epigastrium. GV should be suspected in any newborn with non-bilious vomiting and epigastric distention. It is also important to focus on the clues in the plain radiographs. Gastric double bubble, abnormal gastric distention despite a nasogastric tube, distended stomach lying in a horizontal plane and an air-fluid level in the epigastrium must alert the physicians to the possibility of GV.
- Subjects :
- Male
Radiography, Abdominal
medicine.medical_specialty
Vomiting
Radiography
Stomach Volvulus
Gastric Dilatation
Sensitivity and Specificity
Medical Records
Diagnosis, Differential
Upper Gastrointestinal Tract
Predictive Value of Tests
Intensive Care Units, Neonatal
medicine
Humans
Radiology, Nuclear Medicine and imaging
Retrospective Studies
Gastric volvulus
business.industry
General surgery
Medical record
Infant, Newborn
Retrospective cohort study
medicine.disease
Double bubble
medicine.anatomical_structure
Early Diagnosis
Treatment Outcome
Epigastrium
Predictive value of tests
Chronic Disease
Female
Radiology
medicine.symptom
business
Subjects
Details
- ISSN :
- 1867108X
- Volume :
- 31
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Japanese journal of radiology
- Accession number :
- edsair.doi.dedup.....62b7af1537246336359aa8ff0bb49148