title: The diagnostic value of the triple bubble sign in proximal jejunal atresia: a case report.
abstract: Proximal jejunal atresia (PJA) is a common cause of intestinal obstruction in the newborn. Despite the need for an early surgical intervention to minimize morbidity and mortality, a timely identification is frequently precluded by the absence of specific clinical and investigative clues. Against the background of the limitations in making a timely diagnosis of PJA in a tropical setting, where opportunities for high-tech imaging tools are few, we report the diagnostic value of the "triple bubble" sign on the plain radiograph of a Nigerian infant. This radiologic finding led to an early diagnosis and ultimately a prompt surgical extirpation. The paper suggests that the presence of this sign should be a pointer to an early diagnosis of PJA.
authors.affiliation: Department of Radio-diagnosis, Faculty of Health Sciences, University of Ilorin Teaching Hospital, PMB 1459, Ilorin, Kwara State, Nigeria. wamole@skannet.com
authors.forename: A O D
authors.initials: AO
authors.lastname: Amole
authors.forename: A W B R
authors.initials: AW
authors.lastname: Johnson
authors.forename: O A M
authors.initials: OA
authors.lastname: Adesiyun
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000000981:diagnostic imaging*; D007583:Jejunum / Q000002:abnormalities*; D008297:Male; D011860:Radiography, Abdominal