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A 29-Year-Old Woman Presented to the Clinic Complaining of Recurrent

Question 129

Multiple Choice

A 29-year-old woman presented to the clinic complaining of recurrent abdominal pain, epigastric fullness, vomiting, and weight loss. On physical examination, the patient has epigastric fullness and visible peristalsis. The upper barium study was done, and showed distended stomach and distended duodenum with a cutoff point at the level of the third part of the duodenum. Conservative measures failed to treat the patient. A laparotomy was done which showed that there is a decreased angle between the aorta and the superior mesenteric artery. Which of the following structures is most likely to be obstructed by the artery?


A) Ascending portion of the duodenum
B) Descending portion of the duodenum
C) Duodenal bulb
D) Duodenojejunal flexure
E) Gastric antrum
F) Third part of the duodenum.

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