Single Bubble — Pyloric Atresia
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The day after he was born, an infant boy was observed to have nonbilious vomiting, choking after feeding, and abdominal distention with no meconium. The infant had been born at a gestational age of 35 weeks after the spontaneous premature rupture of membranes and had weighed 2900 g at birth. Physical examination at the time of birth had revealed no birth defects, and breast-feeding had commenced 6 hours after birth, in small amounts. Radiography of the abdomen, while the patient was in the upright position, revealed a single “bubble,” representing a dilated stomach with a fluid level, suggestive of congenital pyloric atresia, with a paucity of air distal to the stomach. A single bubble indicates congenital pyloric atresia, as compared with a double bubble, which indicates duodenal atresia...

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