Intermittent 'double bubble' sign in a case of congenital pyloric atresia

Toshiyuki Yoshizato, Shoji Satoh, Tomoaki Taguchi, Sachiyo Suita, Hitoo Nakano

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

We report a case of congenital pyloric atresia in which two cystic masses in the fetal upper abdomen and polyhydramnios were observed from 24 weeks' gestation to term. The two cystic masses were thought to indicate the 'double bubble' sign in utero, leading to a misdiagnosis of congenital duodenal obstruction. At 33 weeks' gestation, continuous ultrasound observation of the two cystic masses was made for 60 min. During the periods when gastric peristalsis was absent, the 'double bubble' sign was observed. However, during the periods when gastric peristalsis was present, the 'double bubble' sign disappeared. In retrospect, both cystic masses were stomach and the 'double bubble' sign disappeared with peristalsis of the antrum. In order to differentiate from congenital duodenal obstruction, whole stomach configuration should be delineated by continuous observation covering periods when gastric peristalsis is active as well as quiet.

Original languageEnglish
Pages (from-to)334-338
Number of pages5
JournalFetal Diagnosis and Therapy
Volume17
Issue number6
DOIs
Publication statusPublished - Dec 1 2002

Fingerprint

Peristalsis
Stomach
Duodenal Obstruction
Observation
Polyhydramnios
Pregnancy
Diagnostic Errors
Abdomen
Pyloric Atresia

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynaecology

Cite this

Intermittent 'double bubble' sign in a case of congenital pyloric atresia. / Yoshizato, Toshiyuki; Satoh, Shoji; Taguchi, Tomoaki; Suita, Sachiyo; Nakano, Hitoo.

In: Fetal Diagnosis and Therapy, Vol. 17, No. 6, 01.12.2002, p. 334-338.

Research output: Contribution to journalArticle

Yoshizato, Toshiyuki ; Satoh, Shoji ; Taguchi, Tomoaki ; Suita, Sachiyo ; Nakano, Hitoo. / Intermittent 'double bubble' sign in a case of congenital pyloric atresia. In: Fetal Diagnosis and Therapy. 2002 ; Vol. 17, No. 6. pp. 334-338.
@article{4e91bbbf0df24defabed9e5da8633b72,
title = "Intermittent 'double bubble' sign in a case of congenital pyloric atresia",
abstract = "We report a case of congenital pyloric atresia in which two cystic masses in the fetal upper abdomen and polyhydramnios were observed from 24 weeks' gestation to term. The two cystic masses were thought to indicate the 'double bubble' sign in utero, leading to a misdiagnosis of congenital duodenal obstruction. At 33 weeks' gestation, continuous ultrasound observation of the two cystic masses was made for 60 min. During the periods when gastric peristalsis was absent, the 'double bubble' sign was observed. However, during the periods when gastric peristalsis was present, the 'double bubble' sign disappeared. In retrospect, both cystic masses were stomach and the 'double bubble' sign disappeared with peristalsis of the antrum. In order to differentiate from congenital duodenal obstruction, whole stomach configuration should be delineated by continuous observation covering periods when gastric peristalsis is active as well as quiet.",
author = "Toshiyuki Yoshizato and Shoji Satoh and Tomoaki Taguchi and Sachiyo Suita and Hitoo Nakano",
year = "2002",
month = "12",
day = "1",
doi = "10.1159/000065380",
language = "English",
volume = "17",
pages = "334--338",
journal = "Fetal Diagnosis and Therapy",
issn = "1015-3837",
publisher = "S. Karger AG",
number = "6",

}

TY - JOUR

T1 - Intermittent 'double bubble' sign in a case of congenital pyloric atresia

AU - Yoshizato, Toshiyuki

AU - Satoh, Shoji

AU - Taguchi, Tomoaki

AU - Suita, Sachiyo

AU - Nakano, Hitoo

PY - 2002/12/1

Y1 - 2002/12/1

N2 - We report a case of congenital pyloric atresia in which two cystic masses in the fetal upper abdomen and polyhydramnios were observed from 24 weeks' gestation to term. The two cystic masses were thought to indicate the 'double bubble' sign in utero, leading to a misdiagnosis of congenital duodenal obstruction. At 33 weeks' gestation, continuous ultrasound observation of the two cystic masses was made for 60 min. During the periods when gastric peristalsis was absent, the 'double bubble' sign was observed. However, during the periods when gastric peristalsis was present, the 'double bubble' sign disappeared. In retrospect, both cystic masses were stomach and the 'double bubble' sign disappeared with peristalsis of the antrum. In order to differentiate from congenital duodenal obstruction, whole stomach configuration should be delineated by continuous observation covering periods when gastric peristalsis is active as well as quiet.

AB - We report a case of congenital pyloric atresia in which two cystic masses in the fetal upper abdomen and polyhydramnios were observed from 24 weeks' gestation to term. The two cystic masses were thought to indicate the 'double bubble' sign in utero, leading to a misdiagnosis of congenital duodenal obstruction. At 33 weeks' gestation, continuous ultrasound observation of the two cystic masses was made for 60 min. During the periods when gastric peristalsis was absent, the 'double bubble' sign was observed. However, during the periods when gastric peristalsis was present, the 'double bubble' sign disappeared. In retrospect, both cystic masses were stomach and the 'double bubble' sign disappeared with peristalsis of the antrum. In order to differentiate from congenital duodenal obstruction, whole stomach configuration should be delineated by continuous observation covering periods when gastric peristalsis is active as well as quiet.

UR - http://www.scopus.com/inward/record.url?scp=0036979619&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036979619&partnerID=8YFLogxK

U2 - 10.1159/000065380

DO - 10.1159/000065380

M3 - Article

C2 - 12393961

AN - SCOPUS:0036979619

VL - 17

SP - 334

EP - 338

JO - Fetal Diagnosis and Therapy

JF - Fetal Diagnosis and Therapy

SN - 1015-3837

IS - 6

ER -