
Frontal view of the abdomen with double bubble sign, patient was found to have duodenal atresia.
Kinder Radiologie Olga Hospital Klinikum Stuttgart - CC BY-SA 3.0, https://commons.wikimedia.org/w/index.php?curid=32592969

Double bubble sign. a Stomach and duodenum. b Stomach (arrow) with dilatation of proximal bowel (white triangle). Representative prenatal ultrasound images from cases in the study.
Bishop JC, McCormick B, Johnson CT, et al. The Double Bubble Sign: Duodenal Atresia and Associated Genetic Etiologies. Fetal Diagn Ther. 2020;47(2):98-103. doi:10.1159/000500471
Intrinsic causes:
Extrinsic causes: