The most common and most likely answer to this crossword clue is the 6 plus 6 letter word HIATUS HERNIA
I've seen this crossword clue in The Guardian
H
I
A
T
U
S
H
E
R
N
I
A
Buddy explains!
The straight part
We know that "organ sticking out" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case organ sticking out = hiatus hernia.The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.