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Case Reports
. 2013 Dec 16;2013(12):rjt108.
doi: 10.1093/jscr/rjt108.

Congenital duodenal obstruction associated with Down's syndrome presenting with hematemesis

Noora Al Shahwani  1 , Parkash Mandhan  2 , Abdelrahman Elkadhi  1 , Mansour J Ali  1 , Abdel Latif  3
Affiliations
Case Reports

Congenital duodenal obstruction associated with Down's syndrome presenting with hematemesis

Noora Al Shahwani et al. J Surg Case Rep. .

Abstract

Congenital duodenal obstruction is usually characterized by onset of early vomiting due to high bowel obstruction. Presentation of congenital duodenal obstruction with acute gastrointestinal bleeding is very uncommon. We present an unusual case of congenital intrinsic duodenal obstruction associated with the Down's syndrome presenting with hematemesis secondary to duodenitis. This is a rare presentation of congenital duodenal obstruction associated with Down's syndrome in addition to seven cases previously reported in the English literature.

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Figures

Figure 1:
Figure 1:
Plain X-ray abdomen on Day 3 of life showing a dilated stomach and duodenum with gas in the distal small bowel.
Figure 2:
Figure 2:
(A) Upper gastrointestinal contrast study showing a markedly distended stomach and duodenal bulb, with narrowed second part of duodenum suggesting congenital duodenal obstruction. (B) Delayed film of upper gastrointestinal contrast study showing dye passing distally suggestive of incomplete obstruction
See this image and copyright information in PMC

References

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