Radiological Case of the Month

Authors: John L Gwinn Fred A Lee Akio Kobayashi Yoshiro Ohbe

Publish Date: 1970/12/01

Volume: 120, Issue: 6, Pages: 551-552

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Abstract

Clinical History—This 6 4/12yearold girl was admitted to the National Childrens Hospital because of upper abdominal distension and discomfort of 3 weeks duration The patient could not take a large meal or fluid Vomiting was not observed Upper abdominal distension was not relieved by belching but by alterations in position Progressive distension of the upper abdomen gradually developed and she complained of intractable retchingPhysical Examination—The patient was in good nutritional condition The only outstanding physical finding was marked distension of the upper part of the abdomen with the lower part remaining less distended Percussion of the abdomen revealed marked meteorism It was not easy to pass a stomachtube and to relieve the abdominal distension Because of a possibility of mechanical bowel obstruction radiological studies were carried out Fig 1 through 4

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