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Brilliant analysis – imaging performance
1.
Plain abdominal radiograph - gastric inflation and expansion
.
Inflated, nondilated loops
are seen throughout the abdomen.
No free gas
.
The esophageal gastric tube is located in the antrum
.
The lung base shown is clear
.
2.
Upper gastrointestinal angiography - gastric inflation and dilatation, the esophageal gastric tube is located in the antrum
.
The Scout movie shows an air-filled, inflated stomach with esophageal parietal sinuses
.
The contrast medium is injected
through a nasogastric tube.
Gastric contour is normal, without hiatal hernias
.
The contrast medium flows through the stomach to the proximal part of the dilated duodenum, narrowing
near the proximal part of the horizontal part of the duodenum.
After several minutes and several changes of position, the contrast medium did not pass.
Differential diagnosis: