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Published on: December 1, 2012

Associated type IIIB and type IV multiple intestinal atresia in a pediatric patient

R Balanescu1, L Topor, I Stoica

  • 1Grigore Alexandrescu Clinical Emergency Hospital for Children, Bucharest, Romania.

Chirurgia (Bucharest, Romania : 1990)
|June 25, 2013
PubMed

Insights

Multiple intestinal atresia (MIA), a severe congenital defect, poses surgical challenges, especially apple peel atresia. This case highlights successful management through intestinal resection and anastomosis, preserving bowel length and avoiding complications.

Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Gastrointestinal Surgery

Background:

  • Multiple intestinal atresia (MIA) is a rare congenital anomaly presenting significant surgical challenges.
  • Type IIIb or apple peel atresia is a particularly severe form with high mortality rates.
  • Optimal surgical strategy aims to maximize bowel length preservation to prevent short bowel syndrome and sepsis.

Observation:

  • This report details a rare case of multiple intestinal atresia combined with apple peel atresia.
  • The condition necessitated complex surgical intervention in a neonate.
  • Management required careful consideration of preserving intestinal length.

Findings:

  • The surgical team performed multiple intestinal resections and anastomoses.
  • The procedure successfully avoided the use of transanastomotic tubes or stomas.
  • This approach aimed to preserve maximal bowel length.

Implications:

  • Successful surgical management of complex MIA, including apple peel atresia, is achievable.
  • Preserving bowel length through primary anastomosis is a viable strategy.
  • Effective neonatal intensive care and parenteral nutrition are critical for patient survival and long-term outcomes.

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