Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Pediatria per immagini

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Una bubble… non big ma double: una double-bubble!

It wasn’t a big bubble, it was a double-bubble!

Giulia Facchina1, Roberto Pillon1, Lorenza Matarazzo1, Francesca Barbieri1, Paola Pascolo1, Laura Travan2
1Università di Trieste
2Neonatologia e Terapia Intensiva Neonatale, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste

Aprile 2014

Abstract
Duodenal atresia is an intestinal malformation, which is associated with Down Syndrome in one third of cases. On the contrary, among newborns with Down Syndrome the incidence of duodenal stenosis/atresia is 2.5%. In the majority of cases diagnosis is prenatal, if there is no prenatal diagnosis, vomiting is the earliest manifestation. Abdomen radiography in upright position is the most useful method for the diagnosis after birth; it reveals the characteristic “double-bubble” image, which represents abdominal enlargement before obstruction and lack of air after it. The paper reports the case of a newborn with Down Syndrome and duodenal atresia, which was shown by the distinctive radiological image.
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Parole chiave
Intestinal malformation
Suggerite dall'AI
atresia duodenale Down syndrome duodenal atresia sindrome di Down
Classificazione MeSH
Surgical Procedures, Operative Anastomosis, Surgical (2)
Digestive System Diseases Gastrointestinal Diseases Intestinal Diseases Intestinal Atresia (8)
Diagnosis Diagnostic Techniques and Procedures Diagnostic Imaging Radiography Radiography, Abdominal (8)
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Ferrari M, Perre E, Lombardo VF, Di Florio F, Ghiz · 2025
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Bibliografia
Bibliografia
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  2. Choudhry MS, Rahman N, Boyd P, Lakhoo K. Duodenal atresia: associated anomalies, prenatal diagnosis and outcome. Pediatr Surg Int 2009;25:727–30.
  3. Epstein CJ. Down syndrome (Trisomy 21). In: The metabolic and molecular bases of inherited disease, 8th ed, Scriver CR, Beaudet AL, Sly WS, Valle D (Eds), McGraw-Hill, New York 2001. p.1223.
  4. Brantberg A, Blaas HG, Salvesen KA, Haugen SE, Møllerløkken G, Eik-Nes SH. Fetal duodenal obstructions: increased risk of prenatal sudden death. Ultrasound Obstet Gynecol 2002;20:439–46.
  5. Escobar MA, Ladd AP, Grosfeld JL, et al. Duodenal atresia and stenosis: long-term follow-up over 30 years. J Pediatr Surg 2004;39:867-71; discussion 867-71.
  6. Singh MV, Richards C, Bowen JC. Does Down syndrome affect the outcome of congenital duodenal obstruction? Pediatr Surg Int 2004;20:586–9.
  7. Niramis R, Anuntkosol M, Tongsin A, Mahatharadol V. Influence of Down's syndrome on management and outcome of patients with congenital intrinsic duodenal obstruction. Journal of Pediatric Surgery 2010;45:1467–72.