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Incomplete congenital duodenal obstruction: a diagnostic challenge
  1. Catarina Godinho Rúbio1,
  2. Ana Margarida Garcia2,
  3. Cristina Borges3,
  4. Helena Flores2
  1. 1Paediatric Unit, Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal
  2. 2Pediatric Gastroenterology, Hepatology and Nutrition Unit, Hospital Dona Estefania, Lisboa, Portugal
  3. 3Paediatric Surgery Unit, Hospital Dona Estefânia, Lisbon, Portugal
  1. Correspondence to Dr Catarina Godinho Rúbio, Paediatric Unit, Hospital Vila Franca de Xira, Almada 2600-009, Portugal; catarinarubio{at}netcabo.pt

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A 9-month-old boy was referred with a 6-month history of intermittent bilious vomiting, exacerbated after weaning onto solid food, and faltering growth. He had a diagnosis of trisomy 21, hypothyroidism and repaired congenital heart disease (atrioventricular septal defect and coarctation of the aorta). On examination, as well as typical features consistent with Down syndrome, his weight of 4910 g was below the third centile on an appropriate growth …

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