Gastric Volvulus in A Neonate With Omphalocele Treated With Scarification: A Case Report

Background: Gastric volvulus is a rare but potentially life-threatening condition. Evaluating Borchardt's triad in neonates can be challenging and may be absent. Despite its rarity; if left untreated, it can result in a high mortality rate, necessitating immediate diagnosis and management. Case Presentation: A newborn was diagnosed with an omphalocele. The patient was treated with scarification. During treatment, the patient consistently exhibited obstructive symptoms. A midline incision was made above the omphalocele ring, followed by encircling the ring to open the abdominal cavity. During surgery, grade 2-3 adhesions were identified on the greater curvature of the stomach, leading to organo-axial volvulus. Adhesiolysis was performed. The gastric volvulus occurred due to adhesions between the stomach and liver, which were connected to the omphalocele sac, leading to organo-axial volvulus. At the two-months follow-up after surgery, the patient has no obstructive symptoms and the surgical wound was in good condition. Conclusion: Gastric volvulus in neonates can result from abnormal bands and adhesions on the stomach leading to axial twisting and volvulus. Gastric volvulus requires early diagnosis and immediate management, as delays can lead to complications that increase morbidity and mortality.