Duodenal atresia with an anomalous common bile duct masquerading as a midgut volvulus.
In a patient with duodenal atresia, a "double bubble" is classically present on plain radiographs. When bowel gas exists distal to the duodenum, duodenal atresia often is excluded from the differential diagnosis. The authors present a case in which contrast can be seen in the small bowel and biliary system on upper gastrointestinal series in a patient with duodenal atresia and an anomalous common bile duct. One always must consider duodenal atresia with an anomalous biliary system as a possible cause of bilious vomiting with a high grade proximal bowel obstruction in a neonate. J Pediatr Surg 36:956-957.
Tashjian
D B
DB
Division of Pediatric Surgery, Baystate Medical Center Children's Hospital, The Western Campus of Tufts University School of Medicine, Springfield, MA, USA.
Moriarty
K P
KP
D003135:Common Bile Duct / Q000002:abnormalities*; D003937:Diagnosis, Differential; D004380:Duodenal Obstruction / Q000151:congenital* / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000000981:diagnostic imaging*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography