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?
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Duodenal atresia..... its seen in patients with Down Syndrome....
duodenal atresia, down syndrome
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.
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