Apple-peel Atresia with a Twist: A Novel Case Report

ABSTRACT

Jejunoileal atresia is one of the more common causes of neonatal intestinal obstruction. Its incidence is up to 1 in 3000–5000live births. The apple-peel deformity, Type IIIb according to Grosfeld’s classification, forms about 5% of all jejunoileal atresia.It consists of a proximal jejunal bowel which ends blindly into a dilated segment; and a distal jejunoileum which exhibits ahelical distribution around a central blood supply which usually arises from the ileocolic artery. We are presenting a novel caseof jejunoileal atresia where the proximal bowel ends in an apple-peel formation, and the distal small bowel is supplied by abranch of the ileocolic artery. The baby was a full term, good weight, and otherwise well female baby with no major associatedmalformations.