ABSTRACT
A full-term male infant presented soon after birth with cyanotic attacks during feeding. A tracheo-esophageal fistula was initially suspected, but a plain chest radiograph (Fig. 41.2a) showed a gastric shadow lying in front of the heart and a barium swallow (Fig. 41.2b) demonstrated an organoaxial gastric volvulus within the chest. Via a left thoracotomy, the stomach was derotated and reduced into the abdomen with repair of the esophageal hiatus. A gastropexy was not performed and subsequent progress was uneventful.
