Teenager with vomiting after posterior spinal fusion 1 week ago

UGI of superior mesenteric artery syndrome
AP image from an upper GI exam shows extremely dilated first and second portions of the duodenum. There was continuous to and fro motion of contrast in the duodenum and over 15 minutes no contrast passed across the spine and through the duodenal C-loop.

The diagnosis was superior mesenteric artery syndrome.