A neonate with Down syndrome is having bilious vomiting: (A) Duodenal atresia, (B) Congenital hypertrophic pyloric stenosis, (C) Ileal atresia, (D) Anorectal malformation
Answer is A. Ans. (a) Duodenal atresia Ref - The image shows the presence of double bubble appearance suggestive of diagnosis of duodenal atresia. About 8% of children with Down syndrome are born with duodenal atresia which presents with bilious vomiting.