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Acute gastric volvulus is a rare entity which is a surgical emergency, demands early recognition and appropriate treatment to avoid life threatening complications. The author hereby, report a case of 18-year-old girl who presented with epigastric pain with previous history of laparoscopic repair of diaphragmatic hernia. Cross-sectional imaging revealed concurrent occurrence of eventration of left hemi diaphragm, mesentero-axial volvulus with complication of gastric outlet obstruction, which is very uncommon.