Gastric Volvulus
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Although rare in the pediatric population, gastric volvulus is a diagnosis for which early recognition can significantly impact morbidity and avoid mortality. Ee present two cases of gastric volvulus. Case 1: A 17-year-old male with achondroplasia presented to his primary care physician with a three-month history of intermittent dry heaving/gagging, early satiety, and pain with deep inspiration. The patient was placed on a proton pump inhibitor with no significant relief. Initial chest radiograph and barium swallow examination were normal.
Case 2: A 5-year-old female with history of gastroschisis presented to an urgent care facility with two days of abdominal pain, without emesis or diarrhea. Initial evaluation included normal laboratory results and a normal abdominal radiograph leading to the patient’s discharge home. Three days later, the patient presented to the emergency department with intractable abdominal pain, vomiting, poor oral intake, and dehydration.

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