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A 14-year-old girl presented with sudden onset abdominal pain and distension with bilious vomiting. She had no significant prior history or weight loss. On examination, bowel sounds were normal. She was noted to have a typical marfanoid habitus with severe kyphoscoliosis (figure 1), arachnodactyly, positive thumb and wrist sign. Echocardiogram showed mitral valve prolapse, tricuspid regurgitation and normal-sized aortic root. Laboratory investigations were normal. Barium study showed dilated proximal duodenum and an abrupt cutoff near the spine …
Contributors All the authors were equally responsible in the diagnosis and management of the case. Additionally, VJ was responsible for manuscript writing and literature review. AS was responsible for manuscript writing and critical manuscript review. CR was responsible for literature review and KDR contributed in manuscript writing.
Competing interests None.
Patient consent Obtained.
Ethics approval PSG Institute of Medical Sciences Ethics Committee.
Provenance and peer review Not commissioned; internally peer reviewed.