5 day old boy presenting with bilious vomiting.
AXR shows a markedly dilated gas filled stomach. Note the presence of gas-filled bowel loops distally, which are not dilated.
Water-soluble contrast meal demonstrates a markedly dilated stomach. Abnormal “cork-screw” configuration of the opacified duodenal and proximal jejunal loops is seen, which are located entirely to the right of the spine.