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Frontal view of the abdomen with double bubble sign, patient was found to have duodenal atresia. In radiology, the double bubble sign is a feature of pediatric imaging seen on radiographs or prenatal ultrasound in which two air filled bubbles are seen in the abdomen, representing two discontiguous loops of bowel in a proximal, or 'high,' small bowel obstruction.
Radiography shows a distended stomach and distended duodenum, which are separated by the pyloric valve, a finding described as the double-bubble sign. Treatment includes suctioning out any fluid that is trapped in the stomach, providing fluids intravenously, and surgical repair of the intestinal closure.
Double bubble sign; ... Double duct sign; Double posterior cruciate ligament sign; Double track sign; ... Target sign (Ultrasound) Teacup calcification (breast) ...
Abdominal radiography can show the classic sign of the "double bubble": the presence of air in the stomach and duodenum. [5] [6] Unfortunately, this double-bubble sign is not pathognomonic for annular pancreas, as it can also be observed in other conditions, such as duodenal atresia [7] and intestinal malrotation. [8]
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These abnormalities are indications that the fetus may have a bowel obstruction which a more detailed ultrasound study can confirm. [5] Infants with stenosis instead of atresia are often not discovered until several days after birth. [1] Some fetuses with bowel obstruction have abnormal chromosomes.
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