A twist in the tale.

BMJ Case Rep

Hull Royal Infirmary, Hull, Yorkshire, UK.

Published: October 2013

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3822259PMC
http://dx.doi.org/10.1136/bcr-2012-007905DOI Listing

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