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Feeding difficulty in an infant: an unusual cause
Syeda Kashfi Qadri1,2, Veena Logarajah1,2, Shireen Anne Nah3,4
1Department of Paediatrics, KK Women's and Children's Hospital, Singapore, Singapore.
BMJ Case Reports
|August 25, 2018
Summary
A rare case of chronic gastric volvulus was diagnosed in an infant with feeding difficulties and poor growth. Prompt diagnosis and surgical intervention led to a successful outcome.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Medical Imaging
Background:
- Infants with congenital conditions like spondyloepiphyseal dysplasia and cleft palate often present with feeding challenges.
- Oropharyngeal dysphagia and gastro-oesophageal reflux disease are common in such cases, necessitating interventions like nasogastric tube feeding.
Observation:
- A 10-month-old girl with persistent feeding issues and poor growth was evaluated for gastrostomy.
- A contrast study revealed gastric volvulus, characterized by the stomach's greater curvature lying above the lesser curvature.
Findings:
- The patient was diagnosed with chronic gastric volvulus, a condition not immediately apparent due to the absence of typical acute symptoms.
- Laparoscopic gastrostomy creation was successfully performed following the diagnosis.
Implications:
- This case highlights the importance of considering rare anatomical abnormalities like gastric volvulus in infants with persistent feeding difficulties and failure to thrive.
- Early diagnosis and surgical management of gastric volvulus are crucial for improving outcomes in pediatric patients.
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