Department of Pediatric Surgery, Süleyman Demirel University School of Medicine, 32260 Isparta, Turkey.
Jpn J Radiol. 2013 Jun;31(6):401-4. doi: 10.1007/s11604-013-0213-9. Epub 2013 May 9.
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.
新生儿胃扭转（GV）是一种罕见的临床病症，其诊断具有挑战性。本研究旨在发现有助于早期诊断新生儿 GV 的临床和影像学表现。
回顾性分析了所有患有 GV 的新生儿的病历。根据临床发现和影像学图像进行诊断，并通过上消化道（UGI）造影研究进行记录。
本研究共纳入 8 例新生儿。最常见的临床表现为非胆汁性呕吐和上腹胀。平片高度提示 GV 的表现包括胃双泡征、尽管存在鼻胃管但胃仍过度扩张、胃呈水平位扩张以及上腹部气液平。
对于有非胆汁性呕吐和上腹胀的任何新生儿，都应怀疑 GV。关注平片上的线索也很重要。胃双泡征、尽管存在鼻胃管但胃仍过度扩张、胃呈水平位扩张以及上腹部气液平必须引起医生对 GV 的可能性的警惕。
