School ager with protein calorie malnutrition who has just rapidly eaten the equivalent of 3 large meals

AXR of gastric distension
AXR AP taken immediately after ingesting 3 large meals shows an extremely distended stomach along with a moderate amount of stool throughout the colon. An AXR obtained the next day showed the stomach to be completely empty, thus ruling out gastric motility problems.

The diagnosis was acute gastric distension from overeating, mimicing a bezoar or gastroparesis.