PMC6038581_01
Abdominal radiograph showing an air-filled stomach, duodenum, and jejunum.
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A plain abdominal radiograph showed a nonspecific bowel gas pattern with gas noted in the stomach, duodenum, and distal bowel (Figure 1).
Upper gastrointestinal series showing complete obstruction to the flow of contrast at the second portion of the duodenum. There is also contrast filling of the biliary tree above the duodenal bulb noted (arrow).
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The contrast was also seen in the proximal jejunum which was located in the right upper quadrant (Figures 2 and 3).
(a) Upper gastrointestinal series showing a complete obstruction of the duodenum and contrast filling of anomalous bifurcated bile ducts (arrows). The small contrast was also noted in the distal bowel (arrowheads). (b) Upper gastrointestinal series showing a complete obstruction at the second portion of the duodenum, and contrast was seen in the proximal jejunum which is located in the right upper quadrant. The proximal location of the jejunum indicates a malrotation of the intestine without evidence of a small bowel obstruction. (c) Diagram showing biliary tract abnormality associated with duodenal atresia (PD:proximal duodenum, Je:jejunum, and CBD:common bile duct).
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The contrast was also seen in the proximal jejunum which was located in the right upper quadrant (Figures 2 and 3).