Gastropexy Using a Circumumbilical Arcuate Skin Incision for a Child With Gastric Volvulus

Abstract

We present a case of a four-year-and-two-month-old girl who showed abdominal pain and vomiting. An abdominal X-ray showed gastrectasia and bowel gas elimination. Treatment of gastrectasia was performed in fasting and gastric tube insertion. But abdominal distension was not improved and she was transferred to our hospital. An abdominal X-ray and an upper GI series suggested a diagnosis of gastric volvulus. After gastric decompression by a nasogastric tube, we performed a gastric wall fixation by a circumumbilical arcuate skin incision, which we thought to be less invasive and cosnnetically superior to a laparoscopic surgery.