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.