Case: Paediatric radiograph #111021880
Paediatric Intermediate
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: Hellerhoff via Wikimedia Commons · CC BY-SA 4.0 · source · resized and converted to WebP
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Answer: Double bubble sign (duodenal atresia)
What to look for in double bubble sign (duodenal atresia)
- Two gas bubbles, no distal gas.
Description by the image author (may be in another language): Duodenalatresie im Röntgenbild mit deutlich erweiterten Magen und Bulbus duodeni bei sonst fehlender Luft im Duodenum. Nicht ganz das klassische Bild mit "double bubble" aber dennoch passend. Magensonde.
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.


