Acute gastric volvulus due to congenital bands in a newborn case.

Acute gastric volvulus in the newborn period is a rare condition requiring surgery. The association of gastric volvulus with congenital bands is extremely rare and unreported previously. A one-day-old male neonate was diagnosed to have acute gastric obstruction in the neonatal intensive care unit. Mesenteroaxial gastric volvulus due to dense gastrocolic bands was detected during laparotomy. Band excision and anterior gastropexy were performed. The clinical features, radiologic findings, treatment modes and possible mechanisms of gastric volvulus due to congenital bands are discussed. Gastric volvulus is a rare condition in childhood, requiring emergency surgical intervention. Most of the patients are diagnosed during infancy, and early presentation in the neonatal period accounts for 26% of all cases 1 . Gastric volvulus can be seen when gastric attachments are lax or absent2. The association of gastric volvulus with congenital bands is extremely rare and unreported previously. Mesenteroaxial gastric volvulus due to congenital bands in a one-day-old male neonate is reported. Clinical features, radiologic findings, treatment modes and possible mechanisms of gastric volvulus due to congenital bands are discussed. Case Report