Newborn boy with abnormal prenatal ultrasound.
Findings: The plain radiograph demonstrates a classic double bubble sign with absence of distal bowel gas. Additionally, there are irregular calcifications diffusely, overlying the peritoneal cavity.
The water soluble contrast enema demonstrated rapid filling of the colon, with iliocolic reflux filling much of the small bowel. No obstruction was identified. Smooth, thick linear filling defects were present throughout the colon, consistent with meconium.
- Duodenal atresia
- Duodenal web
- Annular pancreas
- Meconium peritonitis
Diagnosis: Duodenal atresia and meconium peritonitis. At surgery, no underlying cause for the meconium peritonitis was discovered.