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Chronic intermittent vomiting after scoliosis surgery
  1. A Hokama1,
  2. R Tomiyama1,
  3. K Kishimoto1,
  4. F Kinjo1,
  5. A Saito1,
  6. M Matayoshi2
  1. 1First Department of Internal Medicine, University of the Ryukyus, Okinawa, Japan
  2. 2Matayoshi Clinic, Okinawa, Japan
  1. Correspondence to:
    Dr A Hokama
    First Department of Internal Medicine, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan;

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Clinical presentation

A 12 year old girl presented with an 18 month history of intermittent postprandial vomiting and abdominal distension following scoliosis surgery. Her family history was unremarkable. On examination, her abdomen was slightly distended without tenderness. Bowel sounds were increased. Laboratory values were normal. Upper gastrointestinal study is depicted in fig 1.

Figure 1

 Barium contrast study of the duodenum.


What is the diagnosis?

See page 281 for answer

This case is submitted by:


  • Robin Spiller, Editor

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