Question

2 year old presents with acute onset abdominal pain and bilious vomiting, with double bubble sign on CT, (oral contrast in distended stomach, duo distended, duo does not cross midline and contrast not seen past this point, no obvious mass). Tx?1.tNGT and observation2.tRepeat XR in 24 hours3.tEmergent OR4.tEGD

Name: 2 year old presents with acute onset abdominal pain and bilious vomiting with double bubble sign on ct oral contrast in distended stomach duo distended duo does not cross midline and contras 66974
Uploaded: 2023-09-12T12:33:23-08:00
Duration: 2 min 1 s
Channel: Adi S
Description: 2 year old presents with acute onset abdominal pain and bilious vomiting with double bubble sign on ct oral contrast in distended stomach duo distended duo does not cross midline and contras 66974

          2 year old presents with acute onset abdominal pain and bilious vomiting, with double bubble sign on CT, (oral contrast in distended stomach, duo distended, duo does not cross midline and contrast not seen past this point, no obvious mass). Tx?1.tNGT and observation2.tRepeat XR in 24 hours3.tEmergent OR4.tEGD

Added by Ronald P.

Instant Answer

Solved by Expert Adi S

09/12/2023

Step 1

- The 2-year-old presents with acute onset abdominal pain and bilious vomiting, which are concerning for an intestinal obstruction or a surgical emergency. - The double bubble sign on CT indicates the presence of a duodenal obstruction, as the contrast in the Show more…

Show all steps

Thanks for your feedback!

2 year old presents with acute onset abdominal pain and bilious vomiting, with double bubble sign on CT, (oral contrast in distended stomach, duo distended, duo does not cross midline and contrast not seen past this point, no obvious mass). Tx?1.tNGT and observation2.tRepeat XR in 24 hours3.tEmergent OR4.tEGD