Gastric Volvulus

A one-month-old male child presented with multiple episodes of non-bilious vomiting since 1 week. The parents came with a USG report done elsewhere, which was suggestive of hypertrophic pyloric stenosis. But, as the clinical findings were not consistent with hypertrophic pyloric stenosis, an upper GI contrast study was done which was clearly suggestive of gastric volvulus.

The patient was subsequently taken up for surgery, intraoperatively there was an organoaxial type of gastric volvulus, which was derotated and gastropexy was done. The child was started on oral feeds on second post operative day and was subsequently discharged on fourth postoperative day.