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Case 133: Persistent bile stained vomiting in a neonate

This baby had been vomiting several times a day since birth and was becoming dehydrated.

1. Describe the important features of this xray?

This is a plain radiograph of the abdomen. The abnormality shown is a dilated stomach and that part of the duodenum which is above an obstruction. Other parts of abdomen do not contain gas.

2. What is the diagnosis?

This 'double-bubble' appearance with no distal gas is characteristic of duodenal atresia.

E-medicine : Duodenal Atresia