Double bubble sign (duodenal atresia) on X‑ray: 4 real cases

Real, openly licensed radiographs showing double bubble sign (duodenal atresia). Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

Two gas bubbles, no distal gas.

Learn: Paediatric abdomen

Quiz yourself on paediatric images

Cases

Radiograph from the case bank: Double bubble sign (duodenal atresia)

Case #113439688Paediatric · Intermediate

Case #32592969Paediatric · Intermediate

Case #111021880Paediatric · Intermediate

Case #38280051Paediatric · Intermediate

Other paediatric diagnoses

Blount disease (tibia vara)
Developmental dysplasia of the hip (DDH)
Foreign body in the oesophagus
Inhaled (aspirated) foreign body
Osteogenesis imperfecta
Perthes disease
Rickets

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.