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Massive Air Shadow in the Abdomen

A two-month-old male infant presented in surgical emergency of our institution, with complaints of excessive crying, epigastric swelling and non bilious vomiting of one day. There was no history of such events before. On clinical examination, the infant was febrile with a temperature of 100°F, a pulse of 110/min, respiratory rate 30/min and BP within normal range. The epigastrium revealed fullness and tenderness on palpation. Bowel sounds were audible. X-ray abdomen erect was performed with AP and lateral views [Figures ​[Figures11 and ​and22]. 
 
 
 
Figure 1 
 
Anteroposterior view 
 
 
 
 
 
Figure 2 
 
Lateral view