Un cas de volvulus gastrique aigu de l'adulte au Centre Hospitalier Universitaire de Toamasina

Un homme de 48 ans etait admis en chirurgie au Centre Hospitalier Universitaire de Toamasina pour une epigastralgie brutale et un syndrome occlusif haut evoluant depuis 72 heures. La radiographie de l'abdomen sans preparation montrait l'image d`une double poche a air gastrique. L'intervention chirurgicale realisee en urgence avait retrouve un estomac violace volvule en organo-axial et des adherences hepato-duodenales. Ces adherences pourraient etre les facteurs favorisants pour ce cas. Une detorsion chirurgicale etait pratiquee amenant une evolution favorable rapide

The frequency of gastric volvulus among patients presenting for upper gastro-intestinal tract Barium studies at Mulago Hospital

Long-standing upper abdominal pain is the commonest symptom in patients referred for upper gastro-intestinal tract (UGIT) Barium studies at the Radiology Department of Mulago Hospital. Between October 1993 and May 1995; 31 patients; attending Mulago Hospital for upper abdominal pain; showed gastric volvulus on UGIT Barium studies. The volvulus was organo-axial in all. It was complete in 10 patients and partial in 21. In 21 patients volvulus was the only finding but 10 had other pathologies such as peptic ulcers; hiatus hernias and gastritis. Symptoms disappeared in all four patients who underwent gastropexy. Important findings at laparotomy were long suspensory ligaments of the stomach and a long transverse mesocolon seen in two patients. In this series; chronic gastric volvulus occurred in 1.2of patients presenting for UGIT studies at Mulago Hospital and may be the cause of pain in some of these individuals