%0 Journal Article %T Co-Occurrence of Esophageal Ring and Peri-Pyloric Pancreatic Rest in a Child with Down Syndrome: A Case Report %A Eyad Alhudaithi %A Mohammed Ahmed Algathradi %A Mohammed Abdullah Albariqi %J Case Reports in Clinical Medicine %P 226-233 %@ 2325-7083 %D 2025 %I Scientific Research Publishing %R 10.4236/crcm.2025.144030 %X Background: Down syndrome (DS) is commonly associated with gastrointestinal (GI) anomalies—esophageal abnormalities, though rare, present significant concerns, especially in children with DS. Case Presentation: A 3-year-old male with DS presented with persistent vomiting. Diagnostic investigations revealed a foreign body lodged above a lower esophageal stricture, likely an esophageal ring, as seen in barium studies. Subsequent upper endoscopy confirmed these findings and incidentally identified a peri-pyloric pancreatic rest. The child underwent successful endoscopic intervention, leading to symptom resolution and clinical improvement. Conclusion: This case highlights the rare co-occurrence of an esophageal ring and peri-pyloric pancreatic rest in a child with DS. Early diagnosis and tailored management are crucial for alleviating symptoms and enhancing the quality of life in DS patients with gastrointestinal anomalies. %K Down Syndrome %K Esophageal Ring %K Pancreatic Rest %K Gastrointestinal Anomalies %K Endoscopic Intervention %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=142403