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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.
The diagnosis of duodenal atresia is usually confirmed by radiography. An X-ray of the abdomen is the first step in evaluation. The x-ray should be obtained after placement of a nasogastric tube (feeding tube), evacuating the stomach and filling 40-50 ml of air [5] to demonstrate two large air filled spaces, the so-called "double bubble" sign.
Bamboo sign; Banana sign; Bat wing appearance; Bear paw sign; Beveled edge sign; Bird of prey sign; Bite sign; Black pleura sign; Blade of grass sign (also known as Flame sign) Blumensaat's line; Bohler's angle; Bone-within-a-bone appearance; Boomerang sign; Bow tie appearance; Bowl of grapes sign; Bowler hat sign; Brim sign; Bucket handle tear ...
Pneumoperitoneum is pneumatosis (abnormal presence of air or other gas) in the peritoneal cavity, a potential space within the abdominal cavity.The most common cause is a perforated abdominal organ, generally from a perforated peptic ulcer, although any part of the bowel may perforate from a benign ulcer, tumor or abdominal trauma.
Although the baby is exposed to radiation, an upper GI series (X-rays taken after the baby drinks a special contrast agent) can be diagnostic by showing the pylorus with elongated, narrow lumen and a dent in the duodenal bulb. [7] This phenomenon caused "string sign" or the "railroad track/double track sign" on X-rays after contrast is given ...
The posterior fat pad is normally pressed in the olecranon fossa by the triceps tendon, and hence invisible on lateral radiograph of the elbow. [3] When there is a fracture of the distal humerus, or other pathology involving the elbow joint, inflammation develops around the synovial membrane forcing the fat pad out of its normal physiologic resting place.
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]
The pylorus, which normally is ventral and to the right of the body of the stomach, is cranial to the body of the stomach and left of the midline, often separated on the X-ray by soft tissue and giving the appearance of a separate gas-filled pocket (double-bubble sign). [5]