[Oral cholangiography and duodenal atresia].
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.
Baeza-Herrera
Carlos
C
Hospital Pediátrico Moctezuma, México D. F., México.
León-Cruz
Alberto
A
Sanjuán-Fabián
Héctor
H
García-Cabello
Luís Manuel
LM
D002758:Cholangiography; D004380:Duodenal Obstruction / Q000151:congenital* / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000000981:diagnostic imaging*; D008297:Male