Intrathoracic gastric volvulus mimicking pyloric stenosis.
A 5-week-old-infant presented to hospital following the acute onset of non-bilious vomiting with clinical and acid-base features suggestive of pyloric stenosis. A chest radiograph obtained because of intercurrent infection unexpectedly revealed a left-sided congenital diaphragmatic hernia. A barium meal demonstrated the presence of an intrathoracic gastric volvulus, requiring urgent surgical management. We discuss the presentation and management of this rare surgical cause of non-bilious vomiting in infancy.
Munoz
J J
JJ
Department of Paediatrics, The General Hospital, Jersey, United Kingdom.
Mansul
A J
AJ
Malpas
T J
TJ
Steinbrecher
H A
HA
D000006:Abdomen, Acute / Q000175:diagnosis; D003937:Diagnosis, Differential; D013505:Digestive System Surgical Procedures; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011707:Pyloric Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D018570:Risk Assessment; D013277:Stomach Volvulus / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome