title: Chronic gastric volvulus and hypertrophic pyloric stenosis in an infant.
abstract: Chronic secondary mesenteroaxial gastric volvulus associated with hypertrophic pyloric stenosis has rarely been mentioned in the general medical literature. We report the case of a 2-month-old boy whose clinical symptoms, which included distension of the stomach and projectile vomiting, suggested the diagnosis of hypertrophic pyloric stenosis but who was later diagnosed with chronic secondary mesenteroaxial gastric volvulus. Sonographic examination revealed findings consistent with a rotated stomach, and subsequent plain chest radiography demonstrated a left diaphragmatic eventration. An upper gastrointestinal series radiographic examination with barium contrast enhancement confirmed the diagnosis of mesenteroaxial gastric volvulus. Surgery was performed, and the boy recovered well. A follow-up sonographic examination performed 3 months post-operatively revealed no abnormalities. This case demonstrates that primary or secondary gastric volvulus, although rare in children, should be considered in the differential diagnosis of pediatric patients with a history of vomiting.
authors.affiliation: Department of Radiology, "Agia Sophia" Children's Hospital, Thivon and Mikras Asias, 11527 Goudi, Athens, Greece.
authors.forename: Athina
authors.initials: A
authors.lastname: Anagnostara
authors.forename: Chrissoula
authors.initials: C
authors.lastname: Koumanidou
authors.forename: Marina
authors.initials: M
authors.lastname: Vakaki
authors.forename: Eleni
authors.initials: E
authors.lastname: Manoli
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Kakavakis
mesh_terms: D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D006984:Hypertrophy; D007223:Infant; D008297:Male; D011707:Pyloric Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery; D013277:Stomach Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography; D014839:Vomiting / Q000209:etiology