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Gaceta médica de México
On-line version ISSN 2696-1288Print version ISSN 0016-3813
Abstract
BAEZA-HERRERA, Carlos; LEON-CRUZ, Alberto; SANJUAN-FABIAN, Héctor and GARCIA-CABELLO, Luís Manuel. Oral cholangiography and duodenal atresia. Gac. Méd. Méx [online]. 2006, vol.142, n.2, pp.169-170. ISSN 2696-1288.
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.
Keywords : Congenital duodenal obstruction; cholangiogram; infants.