{"title":"Unraveling the Mystery of Persistent Positional Borborygmi.","authors":"Namit Gupta, Gaurav Kumar Gupta, Mukesh Jain, Hemendra Bhardwaj, Mohammed Mohsin, Narendra Bishoni, Sandeep Nijhawan","doi":"10.14309/crj.0000000000001727","DOIUrl":null,"url":null,"abstract":"<p><p>We present a case report of young thin-built woman with persistent positional abnormal abdominal sounds audible only while sitting or standing and relieved in supine position. Sounds become more prominent on heavy meals and deep inhalation and improved with breath-holding or self-applying local pressure. Routine investigations, including esophagogastroduodenoscopy, colonoscopy, and contrast-enhance computed tomography of whole abdomen, all were normal. Interestingly, a barium study in standing position revealed an hourglass-shaped stomach, but while in lying down position showed normal anatomy, which might be due to compression of stomach with rib cage. The patient was managed conservatively with medical management, and no definitive medical therapy is available to date.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 6","pages":"e01727"},"PeriodicalIF":0.6000,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144641/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001727","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
We present a case report of young thin-built woman with persistent positional abnormal abdominal sounds audible only while sitting or standing and relieved in supine position. Sounds become more prominent on heavy meals and deep inhalation and improved with breath-holding or self-applying local pressure. Routine investigations, including esophagogastroduodenoscopy, colonoscopy, and contrast-enhance computed tomography of whole abdomen, all were normal. Interestingly, a barium study in standing position revealed an hourglass-shaped stomach, but while in lying down position showed normal anatomy, which might be due to compression of stomach with rib cage. The patient was managed conservatively with medical management, and no definitive medical therapy is available to date.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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