Duodenal atresia presenting as hematemesis in a premature infant with Down syndrome. Case report and review of the literature.
Congenital duodenal obstruction, a common complication of Down syndrome, most often presents as neonatal bilious vomiting. We report the first premature infant with Down syndrome whose duodenal atresia presented with a massive hematemesis secondary to duodenitis. Since a plain radiograph of the abdomen is diagnostic in the case of duodenal obstruction, it should be included in the diagnostic workup of hematemesis in newborn infants.
Chhabra
R
R
Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York 10461.
Suresh
B R
BR
Weinberg
G
G
Marion
R
R
Brion
L P
LP
D004314:Down Syndrome / Q000150:complications*; D004380:Duodenal Obstruction / Q000151:congenital*; D004382:Duodenitis / Q000150:complications; D005260:Female; D006396:Hematemesis / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases; D007409:Intestinal Atresia / Q000150:complications*