A child 15 years old with complaints of girdle pain with suspected renal colic or gastritis. During talk the patient said that the pain passes after eating. At US the stomach wall in pyloric canal area thickened to 7 mm (gastritis?), in the projection of the proximal third of duodenum(duodenal bulb) just beyond the pyloric canal, is visualized hyperechoic linear structure which is superimposed on the duodenum wall, length / diameter of about 2 cm (duodenal bulb ulcer?). external link |