Double bubble sign

Case contributed by Mohamed El Deen
Diagnosis almost certain

Presentation

History of preterm delivery and respiratory distress syndrome.

Patient Data

Age: Less than one year
Gender: Female
x-ray

Double bubble sign with no gasses in the distal bowel. A picture mostly related to duodenal atresia. 

Case Discussion

The distal gasless bowel is a red flag to suspect duodenal atresia rather than stenosis which will show some gasses in the distal bowel.

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