Embryologic Development and Defects · USMLE Step 1

A neonate with Down syndrome has bilious vomiting. Imaging shows a 'double-bubble' sign. Which embryologic event is disrupted?

  1. Recanalization of the duodenum
  2. Rotation of the midgut
  3. Partitioning of the cloaca
  4. Fusion of pancreatic buds
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Correct answer: Recanalization of the duodenum

Duodenal atresia results from failure of recanalization of the duodenum. It is strongly associated with Down syndrome and shows a 'double-bubble' sign on imaging.

Difficulty: Medium Question 6 of 20

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