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This is a case of a full-term male infant born by vaginal delivery. Pregnancy was complicated by polyhydramnios and double bubble sign on anomaly but no evidence of Down's syndrome or other associated congenital anomalies. A size 10 nasogastric tube was inserted easily into the stomach without any hold-up and dark green bile of 100 mL was drained. Anus was normally sited and of normal calibre. A plain abdominal radiograph showed a double bubble sign (figure 1A). The infant underwent exploratory laparotomy and duodenoduodenostomy for presumed duodenal atresia. At operation it was noted that dark …
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