PMC3113174_01
PMC3113174_02
PMC3113174_03
PMC3113174_04
Organoaxial volvulus as shown by upper GI contrast study following reduction by endoscopy. Note position of the nasogastric tube as it courses through the esophagus and makes a 180  turn back into the thoracic cavity.
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F1
A follow-up upper GI study showed that the stomach had re-volvulized in the organoaxial position (Figure 1).
The stomach as shown with upper GI contrast study after laparoscopic reduction, Nissen fundoplication and gastrostomy tube placement. The balloon of the G-tube can be visualized within the gastric lumen, and the fundal wrap can be seen in its superior position.
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F2
A postoperative upper GI confirmed normal gastric position (Figure 2).