Mini-laparoscopic Gastropexy in a Preterm 10-day-old Baby with Acute Gastric Volvulus

Acute gastric volvulus is rare in neonates and has never been reported in preterm babies. We present a 10-day-old preterm baby boy, who presented with vomiting and respiratory distress after birth. Barium study of the upper gastrointestinal tract showed a low-lying gastro-esophageal junction and an upside-down greater curvature, which crossed the esophagus. He underwent mini-laparoscopic gastropexy successfully. He was well at the one year of follow-up. Mini-laparoscopic gastropexy is efficient and safe, even in neonates. Improved cosmetics and avoidance of wound complications are major benefits of this procedure.