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.

3 comments:

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!
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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.