Skip to main content
Log in

Two paediatric cases of chronic gastric volvulus associated with intestinal malrotation

Journal of Pediatric Endoscopic Surgery Aims and scope Submit manuscript

Cite this article



The purpose of this case series is to explore the correlation between intestinal malrotation and gastric volvulus.


A retrospective case series with 2 cases is presented. Case 1: The patient is a 5-year-old female with Rett syndrome and multiple comorbidities, and previous Ladd’s procedure for intestinal malrotation. She presented with recurrent episodes of post-feed vomiting and abdominal distension. Her barium swallow revealed an intestinal stricture and gastric volvulus. Six weeks after initial presentation, she underwent strictureplasty, adhesiolysis, gastropexy and Nissen fundoplication. Case 2: The patient is a 9-year-old male, who had a thoracoscopic congenital diaphragmatic hernia repair as a neonate. He presented with severe intermittent upper abdominal pain over 8 months. His upper GI contrast study revealed an abnormal lie of the stomach and intermittent gastric volvulus. He was found to have a very mobile stomach, caecum, right colon and lesser omentum on laparoscopy for which gastropexy and Ladd’s procedure were performed.


Two clear cases of gastric volvulus with a history of either congenital diaphragmatic hernia or intestinal malrotation only are presented. Both patients had resolution of their symptoms.


These two cases illustrate the association between gastric volvulus and intestinal malrotation. The lack of development or incomplete formation of intraperitoneal suspensory ligaments which occurs with the intestinal malrotation is the proposed aetiology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2


  1. Trecroci I, Morabito G, Romano C, Salamone I (2016) Gastric volvulus in children–a diagnostic problem: two case reports. J Med Case Rep 10:138.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Porcaro F, Mattioli G, Romano C (2013) Pediatric gastric volvulus: diagnostic and clinical approach. Case Rep Gastroenterol 7:63–68.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Spector J, Chappell J (2000) Gastric volvulus associated with wandering spleen in a child. J Pediatr Surg 35:641–642.

    Article  CAS  PubMed  Google Scholar 

  4. Kayastha K, Sheikh A (2011) Acute gastric volvulus secondary to malrotation of gut in a child with cerebral palsy. APSP J Case Rep 2:12

    PubMed  PubMed Central  Google Scholar 

  5. Rescorla FJ, Shedd FJ, Grosfeld JL, Vane DW, West KW (1990) Anomalies of intestinal rotation in childhood: analysis of 447 cases. Surgery 108:710–5

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to H. Esack.

Ethics declarations

Conflict of interest

There are no declarations for this paper.

Financial disclosure


Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Esack, H., Singh, M. Two paediatric cases of chronic gastric volvulus associated with intestinal malrotation. J Ped Endosc Surg 4, 21–23 (2022).

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: