Presentation
Bilious vomiting. Unwell.
Patient Data
Age: 13 days
Gender: Male
Frontal
Abdominal x-ray demonstrates prominent gastric outline with little distal intraluminal gas.
Lateral cross-table shoot through demonstrates no evidence of free intraabdominal gas.
Barium meal demonstrates malrotation, with the DJ flexure not visible, and certainly not located to the left of the midline. Rather the small bowel passes directly inferiorly from the second part of the duodenum with are helical path.
Case Discussion
This child went on to have a laparotomy. Fortunately, his bowel was not infarcted and he made an uncomplicated recovery. Everyone likes a happy ending.