Case of June 2020

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Clinical History:

A 5-day-old full term neonate presented with bilious vomiting. Abdominal X-ray shows a large gastric bubble and paucity of distal bowel gas. An urgent water soluble contrast follow through was carried out, followed by a supplementary ultrasound study.

Water soluble contrast follow through:

Image 1 of 2

Supplementary abdominal ultrasound examination:

 Image 2 of 2