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Dear Nikolaus-
You could be dealing with:
1- hiatal hernia (type V) upside-down thoracic stomach with intermittent
volvulus, or
2- gastric volvulus.
Suggest an upper contrast study.
Give us follow-up,
--tito lugo
 
 
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Humberto Lugo-Vicente, MD, FACS, FAAP
Associate Professor Pediatric Surgery
Dept of Surgery - <http://home.coqui.net/titolugo/uph.htm>University
Children's
Hospital
<http://wwwrcm.upr.clu.edu/>Puerto Rico Health Science Center
San Juan, Puerto Rico
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The URL of 'Pediatric Surgery Update' is:
    http://home.coqui.net/titolugo
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Content-Type: text/html; charset="us-ascii"
 
<html><div>Dear Nikolaus-</div>
<div>You could be dealing with: </div>
<div>1- hiatal hernia (type V) upside-down thoracic stomach with
intermittent volvulus, or </div>
<div>2- gastric volvulus. </div>
<div>Suggest an upper contrast study.</div>
<div>Give us follow-up,</div>
<div>--tito lugo</div>
<br>
 
<br>
<font face="Arial, Helvetica"><b>*******************************************************&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<br>
Humberto Lugo-Vicente, MD, FACS, FAAP<br>
</b>Associate Professor Pediatric
Surgery&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<br>
Dept of Surgery -
<a href="http://home.coqui.net/titolugo/uph.htm">University Children's
Hospital </a><br>
<a href="http://wwwrcm.upr.clu.edu/">Puerto Rico Health Science
Center</a> <br>
San Juan, Puerto Rico<i>&nbsp; <br>
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The URL of '</font><font color="#FF0000"><b>Pediatric
Surgery</font></b><font color="#000000">
</font><font color="#0000FF"><b><i>Update</font></b></i><font color="#000000">'
is: <br>
&nbsp;&nbsp;&nbsp;
<a href="http://home.coqui.net/titolugo" eudora="autourl">http://home.coqui.net/titolugo</a>
</font></html>
 
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The URL for the PED-EM-L Web Page is:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html