The gastric fundus herniates through the hiatus into the

thorax. The gastroesophageal junction and the stomach have

also herniated into the thorax. CT also shows the rotation of
the stomach along its long axis. There are no signs of
acute obstruction
The stomach twists along its own longitudinal axis giving rise to
organoaxial volvulus.
Barium meal organo aksial
Fig. 5. Coronal CT image demonstrating the close relationship of
the GO junction (broken arrow) and gastroduodenal junction
secondary to the volvulus. The first part of the duodenum is
shown by the solid arrow.