Absence of gastric bubble (355/1700)

A 28yo pregnant woman with polyhydramnios and SOB comes for an anomaly scan at 31 wks.
US= absence of gastric bubble. What is the most likely dx?
a. Duodenal atresia
b. Esophageal atresia
c. Gastrochiasis
d. Exomphalos
e. Diaphragmatic hernia
































answer: B

absence of gastric bubble: Esophageal atresia, Tracheo-esophageal fistula

absence of fetal stomach: Diaphragmatic hernia

Double bubble sign: Duodenal atresia 

Gastrochiasis: bowel floating freely in the amniotic fluid











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