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Gut. 2007 November; 56(11): 1589.
PMCID: PMC2095660

History of bilious vomiting: a tale with a twist

Clinical presentation

A 16‐year old girl was admitted with a 9‐month history of bilious vomiting, colicky central abdominal pain and 3 stone weight loss. There was no previous medical history or psychiatric problems. Blood investigations were normal.

On examination she looked well. Her abdomen was soft and non‐tender. There was a sucussion splash. Abdominal radiograph and gastroscopy were normal. A barium meal follow‐through examination was arranged (fig 11).

figure gt105585.f1
Figure 1 Barium meal.


What is the cause of this young girl's vomiting?

See page 1598 for answer

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