triple bubble sign

出典: meddic

空腸上部閉鎖症、上部空腸閉鎖症

  • 腹部単純X線写真の徴候
  • 胃泡、十二指腸、小腸のair



参考

  • 写真 triple bubble sign 1
[display]http://www.radrounds.com/photo/triple-bubble-sign-1
  • 写真 triple bubble sign 2
[display]http://www.radrounds.com/photo/triple-bubble-sign-2

UpToDate Contents

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英文文献

  • A comparison between ultrasound-guided infraclavicular block using the "double bubble" sign and neurostimulation-guided axillary block.
  • Tran de QH, Clemente A, Tran DQ, Finlayson RJ.Author information Montreal General Hospital, Department of Anesthesia, 1650 Ave. Cedar, D10-144, Montreal, Quebec, Canada. de_tran@hotmail.comAbstractBACKGROUND: Ultrasound-guided infraclavicular block can be performed using the double bubble sign. Previously described, the double bubble sign consists superiorly of the axillary artery (in short axis) superimposed on an inferior bubble created by local anesthetic injection. In this study, we compared this new method of brachial plexus anesthesia to the traditional triple-nerve stimulation axillary block.
  • Anesthesia and analgesia.Anesth Analg.2008 Sep;107(3):1075-8. doi: 10.1213/ane.0b013e31817ef259.
  • BACKGROUND: Ultrasound-guided infraclavicular block can be performed using the double bubble sign. Previously described, the double bubble sign consists superiorly of the axillary artery (in short axis) superimposed on an inferior bubble created by local anesthetic injection. In this study, we compa
  • PMID 18713932
  • The diagnostic value of the triple bubble sign in proximal jejunal atresia: a case report.
  • Amole AO, Johnson AW, Adesiyun OA.Author information Department of Radio-diagnosis, Faculty of Health Sciences, University of Ilorin Teaching Hospital, PMB 1459, Ilorin, Kwara State, Nigeria. wamole@skannet.comAbstractProximal jejunal atresia (PJA) is a common cause of intestinal obstruction in the newborn. Despite the need for an early surgical intervention to minimize morbidity and mortality, a timely identification is frequently precluded by the absence of specific clinical and investigative clues. Against the background of the limitations in making a timely diagnosis of PJA in a tropical setting, where opportunities for high-tech imaging tools are few, we report the diagnostic value of the "triple bubble" sign on the plain radiograph of a Nigerian infant. This radiologic finding led to an early diagnosis and ultimately a prompt surgical extirpation. The paper suggests that the presence of this sign should be a pointer to an early diagnosis of PJA.
  • African journal of medicine and medical sciences.Afr J Med Med Sci.2003 Mar;32(1):95-8.
  • Proximal jejunal atresia (PJA) is a common cause of intestinal obstruction in the newborn. Despite the need for an early surgical intervention to minimize morbidity and mortality, a timely identification is frequently precluded by the absence of specific clinical and investigative clues. Against the
  • PMID 15030076
  • Triple bubble sign: a marker of proximal jejunal atresia.
  • Tongsong T, Chanprapaph P.
  • International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.Int J Gynaecol Obstet.2000 Feb;68(2):149-50.
  • PMID 10717821
  • The bubble sign in the gasless abdomen of the newborn.
  • Rathaus V, Grunebaum M, Ziv N, Kornreich L, Horev G.Author information Department of Pediatric Radiology, Beilinson Medical Center, Petah Tiqva, Israel.AbstractThe bubble sign (BS) in the gasless abdomen of the newborn is a helpful clue in the diagnosis of an upper gastrointestinal obstruction. The already swallowed air serves as the natural contrast agent. The single, double and triple BS are described in view of 23 cases indicating the level of the obstruction, and its differential diagnosis is discussed. The presence of BS in the gasless abdomen of the newborn is an indication for surgery until proved otherwise. With the increasing experience by ultrasonography, this modality should be considered as the first bed-side procedure when suspecting upper gastrointestinal obstruction, and then be confirmed by radiograms.
  • Pediatric radiology.Pediatr Radiol.1992;22(2):106-9.
  • The bubble sign (BS) in the gasless abdomen of the newborn is a helpful clue in the diagnosis of an upper gastrointestinal obstruction. The already swallowed air serves as the natural contrast agent. The single, double and triple BS are described in view of 23 cases indicating the level of the obstr
  • PMID 1501935

和文文献

  • 空腸重複症による胎児期腸軸捻転を原因とした空腸閉鎖の 1 例
  • 漆原 直人,中川 賀清,丁田 泰宏,八木 孝仁,田中 紀章,植村 貞繁,吉田 篤史
  • 日本小児外科学会雑誌 34(6), 1046-1049, 1998-10-20
  • … 症例は生後1日の女児.主訴は胆汁性嘔吐と腹部腫瘤.在胎26週の胎児超音波検査にて腹部嚢腫を発見され, 36週には腸管拡張と羊水過多が出現した.生後の腹部単純X線ではtriple bubble像を認め, 超音波検査では約3cm大の嚢腫を認めた.上部消化管造影では上部空腸で造影剤の途絶を認め, 嚢腫と消化管との交通はなかった.嚢腫は重複腸管あるいは離断された消化管と考え空腸閉鎖の診断で生後2日目に手術を …
  • NAID 110002109792

関連リンク

triple bubble signといば? 空腸上部閉鎖 Dance徴候とは? 腸重積において、右下腹部では何も触知せず、空虚な感じ 頑固な便秘、腹部膨満、浣腸で排便 から疑う疾患は? Hirschcprung病 Hirschprung病について、特徴的な造影検査 ...
高位空腸閉鎖では、胃、十二指腸、閉鎖前の空腸のみの拡張したガス像が認められる(triple bubble)。 それより下部の閉鎖ではガス像が増え(multiple bubble)、回腸閉鎖では多くのガス像がみられる。 なお、新生児ではレントゲンでの ...
triple bubble signをひとまずまとめた。口コミや画像もあるです。triple bubble signって? ... triple bubble sign ネタバレ (4)胎児奇形:Fetal anomalies 研 修 医 の た め の 必 修 知 識 ・double bubble signがみられる。

関連画像

Case 1 : with triple bubbleTriple bubble sign 1Double bubble sign空腸閉鎖、triple bubble signthe triple bubble sign on the erect plain  position to show the triple bubble sign


★リンクテーブル★
関連記事sign」「trip」「bubble」「triple」「bubbling

sign」

  [★]

  • n.
indicationmanifestationsignaturestigmastigmatasymptomsymptomatic

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「place signs, as along a road; "sign an intersection"; "This road has been signed"」

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「(medicine) any objective evidence of the presence of a disorder or disease; "there were no signs of asphyxiation"」

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「a perceptible indication of something not immediately apparent (as a visible clue that something has happened); "he showed signs of strain"; "they welcomed the signs of spring"」
mark

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「a character indicating a relation between quantities; "don''t forget the minus sign"」

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「a fundamental linguistic unit linking a signifier to that which is signified; "The bond between the signifier and the signified is arbitrary"--de Saussure」

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「a gesture that is part of a sign language」

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「a public display of a message; "he posted signs in all the shop windows"」

PrepTutorEJDIC   license prepejdic

「(ある事実・状態・感情などの)『表れ』,印,気配,徴侯(indication);(…の)こん跡,計跡《+『of』+『名』》・『身ぶり』,手まね,合図 / 『標識』,看板 / (数学・音楽などの)記号 / (…の)『象徴』,シンボル(symbol)《+『of』+『名』》・《文》(…の)『前兆』,きざし《+『of』+『名』》・宮(きゅう)(黄道12区分の一つ) ・〈手紙・書類・作品など〉‘に'『署名する』・(…に)〈名前など〉‘を'書く《+『名』+『on』(『to』)+『名』》 / …‘を'雇う契約に署名する・…‘を'合図する,知らせる;…に合図する・署名する・契約書に署名して雇われる」

WordNet   license wordnet

「engage by written agreement; "They signed two new pitchers for the next season"」
contract, sign on, sign up

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「approve and express assent, responsibility, or obligation; "All parties ratified the peace treaty"; "Have you signed your contract yet?"」
ratify

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「communicate silently and non-verbally by signals or signs; "He signed his disapproval with a dismissive hand gesture"; "The diner signaled the waiters to bring the menu"」
signal, signalize, signalise

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「mark with one''s signature; write one''s name (on); "She signed the letter and sent it off"; "Please sign here"」
subscribe

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「be engaged by a written agreement; "He signed to play the casino on Dec. 18"; "The soprano signed to sing the new opera"」

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「communicate in sign language; "I don''t know how to sign, so I could not communicate with my deaf cousin"」


trip」

  [★]

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「cause to stumble; "The questions on the test tripped him up"」
trip up

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「a hallucinatory experience induced by drugs; "an acid trip"」

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「an exciting or stimulating experience」
head trip

PrepTutorEJDIC   license prepejdic

「(一般に)『旅行』,旅 / (用件での)出張,通勤 / つまずき,踏みはずし / 過ち,失策 / (機械の)掛けはずし装置 / 《俗》(麻薬の)陶酔感(幻覚症状)の間 / (…に)『つまずく』,よろめく《+over(on)+名》 / (…を)間違える,誤る,しくじる《+over(on)+名》 / 《副詞[句]を伴って》軽快な足どりで歩く / 《俗》(麻薬で) 幻覚症状に陥る《+out》 / …‘を'『つまずかせる』《+名+up,+up+名》 / 〈人〉‘を'失敗させる,しくじらせる;〈人〉‘の'揚げ足を取る,あら捜しをする《+名+up,+up+名》 / 〈止め金・クラッチなど〉‘を'急にはずす,はずして作動させる」

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「an unintentional but embarrassing blunder; "he recited the whole poem without a single trip"; "he arranged his robes to avoid a trip-up later"; "confusion caused his unfortunate misstep"」
trip-up, stumble, misstep

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「a journey for some purpose (usually including the return); "he took a trip to the shopping center"」

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「a light or nimble tread; "he heard the trip of women''s feet overhead"」

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「put in motion or move to act; "trigger a reaction"; "actuate the circuits"」
actuate, trigger, activate, set off, spark off, spark, trigger off, touch off

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「get high, stoned, or drugged; "He trips every weekend"」
trip out, turn on, get off


bubble」

  [★]

  • n.
foam

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「rise in bubbles or as if in bubbles; "bubble to the surface"」

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「a dome-shaped covering made of transparent glass or plastic」

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「a hollow globule of gas (e.g., air or carbon dioxide)」

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「an impracticable and illusory idea; "he didn''t want to burst the newcomer''s bubble"」

PrepTutorEJDIC   license prepejdic

「〈C〉『あわ』,あぶく / 〈U〉あわ立ち,あわ立ちの音 / 〈C〉(すぐ消える)あわのようなこと / 〈C〉『シャボン玉』 / 『あわ立つ』 / ぶくぶくと音を立てる,あわ立って流れる / 〈特に女性が〉気持をわかす,はしゃぐ《+『over』》」

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「cause to form bubbles; "bubble gas through a liquid"」

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「form, produce, or emit bubbles; "The soup was bubbling"」


triple」

  [★]

triplex

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「hit a three-base hit」

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「increase threefold; "Triple your income!"」
treble

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「a quantity that is three times as great as another」

PrepTutorEJDIC   license prepejdic

「3倍の / 3重の,3部から成る / 3倍の数(量) / (野球で)三塁打 / …‘を'3倍(3重)にする / 3倍(3重)になる / (野球で)三塁打を打つ」

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「a base hit at which the batter stops safely at third base」
three-base hit, three-bagger


bubbling」

  [★]

  • n.
aerateaeration

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「marked by high spirits or excitement; "his fertile effervescent mind"; "scintillating personality"; "a row of sparkly cheerleaders"」
effervescent, frothy, scintillating, sparkly

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「emitting or filled with bubbles as from carbonation or fermentation; "bubbling champagne"; "foamy (or frothy) beer"」
bubbly, foaming, foamy, frothy, effervescing, spumy




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