Oral cholangiography and duodenal atresia
Baeza-Herrera, C.; León-Cruz, A.; Sanjuán-Fabián, H.éc.; García-Cabello, L.ís.M.
Gaceta Medica de Mexico 142(2): 169-170
2006
ISSN/ISBN: 0016-3813 PMID: 16711553 Document Number: 604384
A newborn male patient with trisomy-21 presented with bilious hemesis. The patient was icteric with slight hepatomegaly. Simple abdominal X-ray and upper gastrointestinal series with barium showed a dilated duodenal loop and inflammatory changes involving the duodenal mucosa. This image known as "double bubble" is characteristic of congenital duodenal obstruction. Simultaneously the gallbladder and choledochus were visualized. The former X-ray finding is very unusual. An uneventful Kimura procedure was performed.