Abstract
Gastric volvulus was surgically corrected in three patients with asplenic syndrome associaed with severe cardiac anomalies. One patient whose stomach was necrotic, died postoperatively of intraabdominal abcess. The other two patients have been well. Four intraabdominal common abnomalities were found in three asplenic patients; 1, lacking of gastro-diaphragmatic ligaments, 2, lacking of gastro-splenic ligaments, 3, loose fixation of pylorus, 4, close location of pylorus to cardia. Cardiac surgeons and pediatricians who treat asplenic syndrome should pay attention to extra cardiac abnomalities and should avoid undue delay of emergency operation for gastric volvulus.
