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Figure 1 :(a) Upper gastrointestinal endoscopy showing duodenal obstruction with friable duodenal mucosa; and (b) resolution of duodenal obstruction with internal fistula on duodenal wall.

Figure 1 :(a) Upper gastrointestinal endoscopy showing duodenal obstruction with friable duodenal mucosa; and (b) resolution of duodenal obstruction with internal fistula on duodenal wall.