Acute vomiting and anorexia in a 4 yr old FS DSH


    • 4 yr old FS DSH with acute onset vomiting (2-3 days) and anorexia for 2 days.
    • Radiographs show a distended bowel loop with content the same radio-opacity as fecal material in the region of the ICC junction.
    • Abdominal ultrasound shows mild gastric fluid distension.  The pyloric outflow is unobstructed.  The orad duodenum shows a small amount of intraluminal fluid.  The mid desceding duodenum shows corrugation and echogenic intraluminal content.  The duodenal wall is thickened.
    • Just wondering duodenitis vs. FB?

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