Teenager with chronic vomiting

UGI of malrotation without midgut volvulus
AP image from an UGI exam (above) shows a redundant second portion of the duodenum to the right of the spine. AP image from later in the exam (below) shows the duodenal-jejunal junction to project over the middle of the spine and to be much lower in position than the duodenal bulb.

The diagnosis was malrotation without midgut vovulus.