Duodenal Atresia

• Facts:
  Vomiting usually begins 24-48 hours after birth
• History / PE:
  "Double bubble" sign (dilated stomach and duodenum)
  Mother may have h/o polyhydraminos
  Bile-stained vomitus
  NO abdominal distension
  Dehydration
  
• Treatment:
  Decompression with NG tube
  Correction of electrolyte abnormalities
  Surgery
• Keywords:
  Down's Syndrome