CASE 14: XRAY ABDOMEN

5 Day old Male. h/o Vomiting

Findings reveal double bubble sign with 2 air fluid levels seen in the upper abdomen representing the fundus and duodenum

Also noted is pneumoperitoneum

PEARLS

Can be detected antenatally

Though associated with duodenal atresia & Down's syndrome, it is also noted in other causes of duodenal obstruction such as duodenal web, annular pancreas, midgut volvulus, and sometimes SMA syndrome.



Dr Suresh Saboo