PMC3016826_01
Upright abdominal x-ray demonstrating caudal displacement of the transverse colon by the fluid filled and enlarged stomach.
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F1
An upright abdominal film showed a large stomach displacing the abdominal contents, with small amounts of air throughout the colon (Figure 1).
Computed tomography scan showing dilated stomach and proximal duodenum with a transition point at the third portion of the duodenum.
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F2
A computed tomography scan of the abdomen demonstrated dilation of the stomach and proximal duodenum with a transition point at the third portion of the duodenum (Figure 2).
Upper gastrointestinal series showing narrowing in the third portion of the duodenum in the region of the superior mesenteric artery.
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F3
An upper gastrointestinal series was performed that showed a narrowing of the third segment of the duodenum in the region of the superior mesenteric artery (Figure 3).
Placement of 12-mm supraumbilical port, 12-mm left lower quadrant port, 5-mm right subcostal port, and 5-mm left lateral port.
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F4
Three additional trocars were placed: a 12-mm supraumbilical port, a 12-mm left lower quadrant port and a 5-mm right subcostal port (Figure 4).
Superior mesentery artery lying across the collapsed distal duodenum.
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F5
Treitz was identified. The adjacent superior mesenteric artery was noted to be prominent, and lying across the distal duodenum, which was collapsed (Figure 5).