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双泡征成像：一例妊娠晚期发现的十二指肠闭锁病例。

Imaging the Double Bubble: A Case of Duodenal Atresia Detected in Late Pregnancy.

作者信息

Bora Nikita, Parihar Pratapsingh, Raj Nishant, Shetty Neha D

机构信息

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Sep 5;16(9):e68759. doi: 10.7759/cureus.68759. eCollection 2024 Sep.

DOI:10.7759/cureus.68759
PMID:39376824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456410/
Abstract

Duodenal atresia is a rare congenital gastrointestinal obstruction, usually recognized by a prominent "double bubble" sign on prenatal imaging. This case report presents a diagnosis of duodenal atresia in a fetus in the third trimester. The mother presented late for an antenatal ultrasound, which revealed the classic "double bubble" sign. Postpartum abdominal radiographs confirmed the diagnosis, showing an air-filled, dilated abdomen and proximal duodenum with no distal bowel without any gas. A successful surgical operation was performed. This case highlights the importance of imaging in the diagnosis and timeliness of management of duodenal atresia.

摘要

十二指肠闭锁是一种罕见的先天性胃肠道梗阻，通常在产前影像学检查中表现为明显的“双泡”征而得以识别。本病例报告呈现了一例孕晚期胎儿十二指肠闭锁的诊断情况。这位母亲产检超声检查就诊较晚，超声显示出典型的“双泡”征。产后腹部X线片确诊了该疾病，显示腹部和十二指肠近端充气扩张，而远端肠管无气体。随后进行了成功的手术。本病例突出了影像学检查在十二指肠闭锁诊断及治疗及时性方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/524e1eabd945/cureus-0016-00000068759-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/e417dce9d4a6/cureus-0016-00000068759-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/52bb521ed55a/cureus-0016-00000068759-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/8981e16b3a9d/cureus-0016-00000068759-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/7000d0862b52/cureus-0016-00000068759-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/7b605302c022/cureus-0016-00000068759-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/524e1eabd945/cureus-0016-00000068759-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/e417dce9d4a6/cureus-0016-00000068759-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/52bb521ed55a/cureus-0016-00000068759-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/8981e16b3a9d/cureus-0016-00000068759-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/7000d0862b52/cureus-0016-00000068759-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/7b605302c022/cureus-0016-00000068759-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/649c/11456410/524e1eabd945/cureus-0016-00000068759-i06.jpg

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本文引用的文献

1
Prenatal Sonography in Suspected Proximal Gastrointestinal Obstructions: Diagnostic Accuracy and Neonatal Outcomes.产前超声在疑似近端胃肠道梗阻中的诊断准确性及新生儿结局。
J Pediatr Surg. 2023 Jun;58(6):1090-1094. doi: 10.1016/j.jpedsurg.2023.02.029. Epub 2023 Feb 17.
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Congenital duodenal obstruction in the UK: a population-based study.英国先天性十二指肠梗阻：一项基于人群的研究。
Arch Dis Child Fetal Neonatal Ed. 2020 Mar;105(2):178-183. doi: 10.1136/archdischild-2019-317085. Epub 2019 Jun 22.
3
Case 1: Progressive vomiting in a three-week-old infant.
病例1：一名三周大婴儿的进行性呕吐。
Paediatr Child Health. 2008 May;13(5):387-90. doi: 10.1093/pch/13.5.387.