A Rare Case of Apple Peel Ileal Atresia With Coexisting Colonic Atresia: Surgical Management and Outcomes.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL
Cureus Pub Date : 2025-06-18 eCollection Date: 2025-06-01 DOI:10.7759/cureus.86290
Aleksandra I Sadecka, Aleksandra Jasinska
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引用次数: 0

Abstract

Ileal atresia is one of the most frequent causes of congenital intestinal obstruction. Type IIIb, also known as apple peel atresia, is the least common subtype. Colonic atresia is a rare anomaly that can also cause neonatal intestinal obstruction. Both can coexist with other atypical malformations, further complicating diagnosis. The surgical management of these two gastrointestinal malformations differs between centers, and no standardized procedural guidelines currently exist. We present a case of a neonate born with apple peel ileal atresia coexisting with transverse colonic atresia, both successfully treated with primary anastomoses. The postoperative course was uneventful, and the patient was discharged with full oral feeding and regular bowel movements.

一例罕见的苹果皮回肠闭锁并发结肠闭锁:手术治疗和结果。
回肠闭锁是先天性肠梗阻最常见的原因之一。IIIb型,也被称为苹果皮闭锁,是最不常见的亚型。结肠闭锁是一种罕见的异常,也可引起新生儿肠梗阻。两者均可与其他非典型畸形共存,进一步使诊断复杂化。这两种胃肠道畸形的手术治疗因中心而异,目前尚无标准化的手术指南。我们报告一个新生儿苹果皮回肠闭锁合并横结肠闭锁的病例,两者都成功地用一期吻合术治疗。术后过程很顺利,患者在完全口服喂养和排便正常的情况下出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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