Newborn with bilious vomiting who has passed meconium

Upper GI of ileal atresia
AP image from an upper GI exam (above) shows the duodenal jejunal junction to be over the left pedicle of the T12 vertebral body in a normal position. AP image obtained 30 minutes later (below) shows progressive passage of contrast into several extremely dilated loops of proximal jejunum.

The diagnosis was ileal atresia.