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Duodenal atresia

Case contributed by Sebastian Tschauner
Diagnosis certain

Presentation

Newborn presenting with bilious vomiting and abdominal distension.

Patient Data

Age: Newborn
Gender: Male

Abdomen

x-ray

Double bubble sign in the left and middle abdomen, suggestive of duodenal obstruction, likely duodenal atresia.

A nasogastric tube is seen in orthotopic projection.

Case Discussion

Typical radiographic appearance of a duodenal atresia with double bubble sign. No gas is seen in the distal bowel loops.

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