RESUMO
Colonic atresia is a rare cause of intestinal obstruction, and the transverse colon is the rarest site of colonic atresia. Our case was an index case of colonic atresia to be first operated on and effectively managed by the collaboration of paediatricians and surgeons in the Bundelkhand region of Uttar Pradesh. A 5-day-old male baby presented with complaints of abdominal distension, bilious vomiting, and failure to pass meconium and was diagnosed as a case of colonic atresia. The present case and the pertinent literature were discussed with an emphasis on surgical management along with medical post-op care. Colonic atresia must be considered an important cause of distal intestinal obstruction in neonates, and other causes of congenital small left colon should be ruled out.