Gastric volvulus is a rare, potentially life-threatening condition first described by Berti in 1866.1 A review of the world literature in 1980 identified only 51 cases in children under 12 years of age.2 Of these, 26 (52%) were infants, and half of these were younger than 1 month of age. In a recent series, neonates have accounted for only 21% of cases of gastric volvulus.3 , 4 In older children, gastric volvulus may be associated with neurodevelopmental delay and splenic abnormalities, but in neonates, there is a strong link with diaphragmatic defects. In the last three decades, numerous descriptions of acute and chronic gastric volvulus in children have been published, bringing the total number of reported cases to more than 640.3 8