RT Journal
A1 Bonadio WA, Wood BP
T1 RAdiological case of the month
JF American Journal of Diseases of Children
JO American Journal of Diseases of Children
YR 1989
FD April 1
VO 143
IS 4
SP 503
OP 504
DO 10.1001/archpedi.1989.02150160133027
UL http://dx.doi.org/10.1001/archpedi.1989.02150160133027
AB A previously well 5-month-old male infant presented to the emergency department with a one-day history of cough and choking with feedings. There were several episodes of retching without emesis. On physical examination, the patient was in no distress and vital signs were normal. Auscultation of the lungs revealed the previously well 5-month-old male infant presented to the emergency department with a one-day history of cough and choking with feedings. There were several episodes of retching without emesis. On physical examination, the patient was in no distress and vital signs were normal. Auscultation of the lungs revealed theDenouement and Discussion 
    Intrathoracic Stomach With Volvulus 
    The initial chest roentgenograms (Figs 1 and 2) showed a large, intrathoracic, gas-filled viscus (stomach) located immediately above the diaphragm in the mediastinum. An upper-gastrointestinal-tract study confirmed the presence of an intrathoracic stomach and documented an associated 180° organoaxial volvulus of the stomach with herniation through the diaphragmatic hiatus. The pylorus is located at the