organo-axial gastric volvulus

Teenager with

an incidentally noted paraspinal mass on a CXR. Early AP (above left) and later AP (above right) and lateral (below) images from an upper GI shows rotation of the stomach along its long axis with reversal of the greater and lesser curvatures of the stomach. The stomach is also noted to have slid through the esophageal hiatus into the chest.The diagnosis was organoaxial gastric volvulus in a patient with a hiatal hernia.

Infant with

vomiting and failure to thrive. AP image from an upper GI shows rotation of the stomach along its long axis with reversal of the greater and lesser curvatures of the stomach.The diagnosis was organoaxial gastric volvulus.

Gastric

volvulus in a 4-month-old infant: an imaging spot diagnosis. A distended stomach extended into the chest. The greater curvature was located superiorly (white triangles), and the beak of contrast (grey arrow) suggested a point of twist.