X-ray of the chest and abdomen showed dextrocardia with reversed double
bubble sign. The echocardiogram confirmed the dextrocardia and the Ultrasound confirmed the situs inversus.
The double bubble sign indicates the presence of duodenal obstruction that can be caused by a number of intrinsic or extrinsic etiologies.
Duodenal atresia is the causative entity most commonly linked with a double bubble sign. Duodenal atresia is found in 1 in 10,000 newborns and is typically associated with other congenital anomalies; 30% of children with duodenal atresia have Down's syndrome.
(2) The "
bubble sign" and "metal line" sign are less common findings.
X ray abdomen revealed three gas bubbles with distal paucity of gas (Triple
bubble sign).
- Party Props including hats, glasses, mustaches and lips on a stick and speech
bubble signsI know, China has kept its foot on the gas of its stimulus package too long and there are
bubble signs in housing and labor is no longer limitless, with resultant inflationary pressure.