title: A twist in the tale.
abstract: A 4-year-old girl presented with retching and abdominal colic and was initially diagnosed with gastroenteritis. However, progressive pain and epigastric distension led to a surgical review and she was discovered on CT scanning to have a gastric volvulus. She required urgent laparotomy to decompress the stomach and repair a perforation on the lesser curvature. Her recovery was complicated by sepsis and reperforation necessitating further laparotomy, at which time she also underwent gastropexy. The patient required long-term jejunal feeding in the hospital and at home before finally returning to normal diet and activity.
authors.affiliation: Hull Royal Infirmary, Hull, Yorkshire, UK.
authors.forename: Rishi
authors.initials: R
authors.lastname: Malhotra
authors.forename: Rejoo
authors.initials: R
authors.lastname: Daniel
authors.forename: Sanja
authors.initials: S
authors.lastname: Besarovic
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology; D002675:Child, Preschool; D003287:Contrast Media; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D005500:Follow-Up Studies; D005759:Gastroenteritis / Q000175:diagnosis* / Q000188:drug therapy; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D010288:Parenteral Nutrition / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation / Q000379:methods; D012422:Rupture, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery; D012720:Severity of Illness Index; D013277:Stomach Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D003287:Contrast Media