Preschooler with bilious vomiting Pediatric Imaging Gastrointestinal September 30, 2025May 14, 2025 AP image from an upper GI exam shows that while the duodenal jejunal junction projects over the left pedicle of the spine, it is beneath the level of the duodenal bulb and thus is low in position. The diagnosis was malrotation with midgut volvulus. Related Published September 30, 2025May 14, 2025