case_images: PMC6045491_01
case_images: Patient's senile appearance.
case_images: 10-1055-s-0038-1666795-i170340cr-1.jpg
case_images: PMC6045491_01_10-1055-s-0038-1666795-i170340cr-1.jpg
case_images: FI170340cr-1
case_images: The patient was a small, thin infant with "senile" appearance ( Fig. 1 ), micrognathia, crumpled ears, and reduced muscle mass and subcutaneous tissue.
case_images: Chest X-ray showing an intrathoracic gas bubble compatible with stomach.
case_images: 10-1055-s-0038-1666795-i170340cr-2.jpg
case_images: PMC6045491_01_10-1055-s-0038-1666795-i170340cr-2.jpg
case_images: FI170340cr-2
case_images: Ultrasound showed no stomach at its normal position, but a compatible structure was observed through the right diaphragm and an intrathoracic gas bubble with the nasogastric tube inside was seen ( Fig. 2 ).
case_images: Upper gastrointestinal contrast study confirming the complete herniation of the stomach into the left thorax.
case_images: 10-1055-s-0038-1666795-i170340cr-3.jpg
case_images: PMC6045491_01_10-1055-s-0038-1666795-i170340cr-3.jpg
case_images: FI170340cr-3
case_images: The diagnostic workup completed by an upper gastrointestinal water-soluble contrast study, confirming the complete herniation of the stomach into the right thorax ( Fig. 3 ).
case_images: Large and partially volvulating stomach, almost completely herniated into the thorax.
case_images: 10-1055-s-0038-1666795-i170340cr-4.jpg
case_images: PMC6045491_01_10-1055-s-0038-1666795-i170340cr-4.jpg
case_images: FI170340cr-4
case_images: We confirmed the presence of a large stomach, volvulating over its mesenteroaxial axis and almost completely herniated ( Fig. 4 ) through a wide diaphragmatic hiatus ( Fig. 5 ).