Duodenal atresia

Case contributed by Dr Andrew Kirby

Presentation

33 weeks, 24 hours old. ?liver cyst seen on AN scans. Polyhydramnios in pregnancy. Ongoing bilious aspirates, vomits since feeds incremented up. ?abdominal pathology

Patient Data

Age: 1 day; born at 33/40
Gender: Male
X-ray

Nasogastric tube tip within stomach. Stomach, pyloric canal and duodenum are outlined by gas with no gas distally. Appearances are of a double bubble sign.

Case Discussion

The patient was found to have duodenal atresia at surgery.

Differential includes:

However, these would usually demonstrate some distal gas.

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