Dysmorphic patient presenting with:
- multiple vertebral fusion abnormalities
- congenital heart disease (VSD)
- trache-oesphageal fistula with oesophageal atresia
- rib fusion abnormalities and
- duodenal atresia.
The gas is thought to have passed into the distal bowel by bypassing the duodenal atresia via the accessory pancreatic duct and into the ampulla.