Two cases of atypical wheezing infants due to chronic gastric volvulus and review of the literature Kronik Gastrik Volvulusa Baǧl ki Atipik Hşltl Olgunun Sunumu ve Literatürün Gözden Geçirilmesi

Özdemir Ö., Sürücü M., Direk G., Altunkara A., Öktem S.

Turkiye Klinikleri Pediatri, vol.21, no.4, pp.264-270, 2012 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 4
  • Publication Date: 2012
  • Journal Name: Turkiye Klinikleri Pediatri
  • Journal Indexes: Scopus
  • Page Numbers: pp.264-270
  • Keywords: Infant, Respiratory sounds, Stomach volvulus
  • Istanbul Medipol University Affiliated: No


ABS TRACT Gastric volvulus is very rarely seen abnormality during childhood. Nonbilious vomiting, abdominal distension after eating and dyspepsia are the most common presenting symptoms. Yet, it may cause reactive airway disease symptoms such as recurrent wheezing attacks, because of gastroesophageal reflux, and chronic cough in infants. Surgery after early diagnosis in gastric volvulus resolves symptoms completely and its prognosis is excellent. Here, 6- and 2-months-old patients having chronic cough, wheezing unresponsive to bronchodilators, vomiting are being presented. The investigations for their atypical wheezing etiology revealed chronic gastric volvulus. Although the symptoms of the first patient entirely resolved after the surgery for gastric volvulus and gastroesophageal reflux, the second patient's symptoms improved with anti-reflux medical therapy. Our cases are being reported to emphasize the necessity of consideration for chronic gastric volvulus in the differential diagnosis of wheezing infant, even which it is very rare cause. Copyright © 2012 by Türkiye Klinikleri.