Premature baby (gestation week 33) + 0
What are the findings?
What are the findings?
Nasogastric tube positioned in the left upper quadrant. The stomach and proximal duodenum are distended and filled with gas (double bubble sign). The remainder of the abdomen shows no gas-filled bowel loops.
What is the most likely diagnosis?
What is the most likely diagnosis?
Obstruction of the proximal duodenum (duodenal atresia)
Possible causes:
Duodenal web, duodenal atresia, annular pancreas, midgut volvulus, retroperitoneal tumour
Require surgery within 24 h
Treatment in this case: Surgery (duodeno-duodenostomy) the same day