Acute abdominal pain, tenderness and dyspnea
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The stomach twists along its own longitudinal axis giving rise to organoaxial volvulus.
Organoaxial volvulus is the most common gastric volvulus and occurs secondary to diaphragmatic trauma or paraesophageal hernia. When the stomach twists along its longitudinal axis the esophago-gastric junction lies below the pyloro-duodenal junction.