Monday, September 20, 2010

Bubble Bobble

This near-term baby is small for gestational age and presents with bilious vomiting 30 hours after birth. You note gastric distension on exam. He did pass meconium earlier.

Challenge: What's the diagnosis? What syndrome is this seen in?

Image shown under Fair Use.


sid said...

Duodenal atresia..... its seen in patients with Down Syndrome....

tree said...

duodenal atresia, down syndrome

Craig Chen said...

yes! you guys are good!
Bubble Bobble

This is duodenal atresia; the X-ray shows the "double bubble" sign. An atresia is a complete obstruction of the lumen of a hollow viscus. 30% of infants with duodenal atresia have Down syndrome.

Sources: UpToDate; LearningRadiology.