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A preterm 31-week baby girl weighing 1150 g was born to a 29-year-old primigravidae by spontaneous vaginal delivery, after antenatal polyhydramnios was identified at 30 weeks’ gestation. On admission in the neonatal intensive care unit, examination revealed a soft mass palpable in the epigastric region. X-ray of the chest and abdomen revealed the mirror image of a typical double bubble configuration with no gas in the remaining bowel, suggestive of duodenal atresia (‘reverse double bubble sign’). It was also conspicuous for situs inversus abdominalis with levocardia (figure 1).
Features of prenatal diagnosis of intestinal obstruction include:
Polyhydramnios. True or false?
Small bowel lumen diameter >6–7 mm at any gestational age. True or false?
Colonic lumen diameter >23 mm at any gestational age. True or false?
Echogenic bowel. True or false?
Duodenal atresia usually occurs due to:
Congenital failure of recanalisation of the lumen at 8–10 weeks’ gestation. True or fa lse?
Prenatal volvulus and torsion of vascular mesentery. True or false?
Prenatal thromboembolic event. True or false? …
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