Radiologic diagnosis of gastric volvulus in children (Literature Review with Their Own Clinical Observations)
Abstract
Volvulus in children is a little-known and severe pathology, potentially life-threatening and requiring accurate and rapid diagnosis. The nonspecificity of the clinical picture in many cases is determined by a variety of morphological features of pathology, variability of the clinical course and many combined structural changes. Diagnosis of gastric volvulus requires a comprehensive radiation examination, while radiographic data are not always specific, echographic data are poorly understood, and 3D computed tomography is not always available. The publication presents data on two own observations (children 9 and 4 years old), which were diagnosed on the basis of a comprehensive radiation examination and a successful laparoscopic gastropexy was performed. A previously undescribed echographic symptom was revealed, the appearance of which was confirmed experimentally. The publication contains a literature review and is extensively illustrated.
About the Authors
E. B. Olkhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Department of Radiology, Ministry of Healthcare of Russia;
Moscow Clinical Municipal Children Hospital St. Vladimir, Moscow Healthcare Department
Russian Federation
Russian Federation
M. D. Med., Professor, Professor of Department of Radiology;
Head of Department of Ultrasound Diagnostic,
9а, ul. Vucheticha, Moscow, 127206
N. A. Sholokhova
Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia;
Moscow Clinical Municipal Children Hospital St. Vladimir, Moscow Healthcare Department
Russian Federation
Russian Federation
Ph. D, Med., Assistant of Department of Radiology, Department of Radiology;
Head of X-ray Department,
1/3, st. Rubtsovsko-Dvortsovaya, Moscow, 107014
Yu. Yu. Sokolov
Russian Medical Academy Postgraduate Education. Ministry of Healthcare Russia
Russian Federation
Russian Federation
M. D. Med., Professor, Head of Chair of Children Surgeon,
2/1, ul. Barrikadnaia, Moscow, 127206
M. K. Akopian
Moscow Clinical Municipal Children Hospital St. Vladimir, Moscow Healthcare Department
Russian Federation
Russian Federation
Head of the Abdominal Surgery Department,
1/3, ul. Rubtsovsko-Dvortsovaia, Moscow, 107014
E. V. Belkina
Moscow Clinical Municipal Children Hospital St. Vladimir
Russian Federation
Russian Federation
Surgion,
1/3, ul. Rubtsovsko-Dvortsovaia, Moscow, 107014
I. V. Melnik
Clinical Hospital «Lapino», LLC HAVEN Company group «Mother and Child»
Russian Federation
Russian Federation
Ultrasound Specialist, Head of Ultrasound Departament 2,
111, 1-ye Uspenskoe highway, Lapino, Moscow region, Odintsovskii district, 143081
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Review
For citations:
Olkhova E.B., Sholokhova N.A., Sokolov Yu.Yu., Akopian M.K., Belkina E.V., Melnik I.V. Radiologic diagnosis of gastric volvulus in children (Literature Review with Their Own Clinical Observations). Radiology - Practice. 2021;(1):80-91. (In Russ.)
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