2007 Volume 68 Issue 3 Pages 578-581
An 85-year-old man was admitted to our hospital because of hematemesis. Chest X-ray film and gastrointestinal series provided a diagnosis of diaphragmatic relaxation associated with gastric volvulus. Endoscopic reduction was performed in vain, so an operation was undertaken. We reduced the stomach, made the plication of the diaphragm by transthoracic and transdiaphragma procedures, and thereafter did percutaneous endoscopic gastrostomy fixation. Though the patient was well advanced in years, he has made satisfactory progress. Here we report this case together with some discussion of the literature.