Repeated bouts of vomiting.
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Barium meal demonstrates abnormal distribution of the small bowel. The duodenum fails to cross the midline and DJ flexure is located to the right of the midline and at the level of L3. From there the small bowel is curled in the right side of the abdomen, with colon on the left.
Features are consistent with malrotation. Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.