Question 2110
{"accessible":true,"alternatives":[{"id":10474,"text":"annular pancreas"},{"id":10475,"text":"duodenal atresia"},{"id":10476,"text":"ileal atresia"},{"id":10477,"text":"midgut volvulus"},{"id":10478,"text":"superior mesenteric artery syndrome"}],"archived":false,"correctAlternativeId":10476,"explanation":"\u003cp\u003eMarked gaseous distension of the stomach and proximal duodenum is seen with absent bowel gas distally giving the typical \"\u003ca href=\"https://radiopaedia.org/articles/double-bubble-sign\"\u003edouble bubble\u003c/a\u003e\" appearance of\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/duodenal-atresia?lang=gb\"\u003eduodenal atresia\u003c/a\u003e.\u003c/p\u003e\u003cp\u003eThe\u0026nbsp;\u003cstrong\u003edouble bubble sign\u003c/strong\u003e\u0026nbsp;is seen in infants and represents dilatation of the proximal\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/duodenum?lang=gb\"\u003eduodenum\u003c/a\u003e\u0026nbsp;and\u0026nbsp;\u003ca href=\"https://radiopaedia.org/articles/stomach?lang=gb\"\u003estomach\u003c/a\u003e. It is seen in both radiographs and ultrasound and can be identified antenatally. It can be congenital or due to external compression of the duodenum.\u0026nbsp;\u003c/p\u003e","id":2110,"imageUrl":"https://prod-images-static.radiopaedia.org/images/24777249/a575e98d6ba305dc6b7cbe19a32c93_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":47635},"imageAttributionCaseInfo":{"title":"Duodenal atresia","contributor_name":"Alexandra Stanislavsky","contributor_param":"alexandra","case_rid":47635,"case_param":"duodenal-atresia-8"},"firstQuestionPath":"/questions/2110","nextQuestionPath":null,"relatedArticles":[{"id":6363,"title":"Duodenal atresia","link":"/articles/duodenal-atresia?lang=us"},{"id":5889,"title":"Ileal atresia","link":"/articles/ileal-atresia?lang=us"},{"id":16620,"title":"Annular pancreas","link":"/articles/annular-pancreas?lang=us"},{"id":1675,"title":"Midgut volvulus","link":"/articles/midgut-volvulus?lang=us"},{"id":11142,"title":"Superior mesenteric artery syndrome","link":"/articles/superior-mesenteric-artery-syndrome?lang=us"}],"alsoUsedIn":[{"id":946,"kind":"Course","title":"Radiopaedia 2021 - isoCME - page 946","link":"https://radiopaedia.org/courses/radiopaedia-2021-isocme/pages/946"},{"id":946,"kind":"Course","title":"2021 Virtual Conference Private Use - page 946","link":"https://radiopaedia.org/courses/2021-virtual-conference-private-use/pages/946"},{"id":946,"kind":"Course","title":"Paediatric Lectures - page 946","link":"https://radiopaedia.org/courses/paediatric-lectures/pages/946"},{"id":1453,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1453","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1453"}],"stem":"\u003cp\u003eA newborn baby boy presented with\u0026nbsp;bilious vomiting and abdominal distension. His frontal radiograph is shown. All of the following are possible causes of this appearance \u003cstrong\u003eEXCEPT...\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2110"}],"attemptsPercentages":[{"alternativeId":"10478","percentage":19},{"alternativeId":"10476","percentage":51},{"alternativeId":"10477","percentage":8},{"alternativeId":"10475","percentage":16},{"alternativeId":"10474","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"double-bubble-sign-duodenum"}