Premature newborn (35 weeks) with polyhydramnios on antenatal imaging.
Abnormal bowel gas pattern
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Frontal chest and abdomen Radiograph:
- There is an enteric tube with its tip terminating in the stomach.
- Diffuse hazy opacity in both lungs.
- There is gaseous distention of the stomach, duodenum and proximal jejunum with abrupt cut-off at the level of mid abdomen. No bowel gas seen distal to this point.
- No other significant findings appreciated.
These findings are consistent with jejunal atresia with the classic triple bubble appearance.
This is a case of surgically-confirmed proximal jejunal atresia. Abdominal radiography shows three dilated bowel loops, with no gas in the rest of abdomen. The patient was diagnosed prenatally. Contrast enema was done and showed normal colon.