Abstract

A 9-month-old girl weighing 6.2 kg with a chief sign of vomiting underwent laparoscopic gastropexy for gastric volvulus. Intraoperative fluoroscopy revealed the shape of the whole stomach and demonstrated that the most suitable site for gastropexy was between the anterior abdominal wall and the stomach. A 3-year-old boy weighing 15 kg had an asymptomatic intra-abdominal foreign body for 6 months. Abdominal radiography and CT showed a radiopaque foreign body in what seemed like a Meckel's diverticulum or the appendix. Laparoscopic observation combined with intraoperative fluoroscopy illustrated an intra-appendiceal foreign body, the tip of a metal toy. Its complete removal by laparoscopic appendectomy confirmed the accuracy of the diagnosis. Intraoperative fluorescopy during laparoscopic surgery is a very useful tool for correct diagnosis and treatment.

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