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Updated: May 15, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Apple peel deformity of the small bowel without atresia in a congenital mesenteric defect
1Division of Pediatric Surgery, Department of Surgery, New York University Langone Medical Center, New York, NY 10016, USA.
Abstract:
Congenital mesenteric defects are rare causes of bowel obstruction. Even rarer are mesenteric defects with an apple peel type of deformity, probably described definitively only once previously. We present a case of a 3 year old boy who presented with a septic-like picture of severe metabolic acidosis and lethargy from a bowel obstruction with bowel ischemia. At laparotomy he was found to have bowel infarction due to herniation through a congenital mesenteric defect with an apple peel type of deformity of the bowel without bowel atresia.
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