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2013 Kenyan Case of the Week

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Post your answer in the comments.  Give the findings and your best shot at diagnosis.

The radiographers do all of the fluoroscopic exams here - these are the only pictures we had to make a diagnosis (the rest of the duodenum and proximal small bowel were normal).

Patient with long-standing history of dysphagia, vomiting, and early satiety.  Other history withheld.




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