Abstract

A 72-year-old woman presented with abdominal pain. She had a history of intestinal malrotation and had undergone a laparoscopic Ladd operation. She was diagnosed with a bezoar in the third portion of the duodenum after abdominal CT scan, EGD, and upper GI series (A and B, arrows), and acute angulation was found at the junction between the third and fourth portions of the duodenum. Duodenotomy was attempted but failed because of multiple adhesions and distorted anatomy. The patient was referred to our hospital after gastrojejunostomy had been performed.

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