Abstract

Three neonates presented in a 2-year period with complicated type 3A atresia of the transverse colon without associated anomalies. The abnormality was diagnosed on antenatal ultrasound in one case. Two patients had a volvulus of the proximal colon, one of which had undergone ischaemic infarction. The third patient presented with peritonitis due to a perforation of the blindending colonic loop. All three patients underwent a right hemicolectomy, two with primary ileo-transverse anastomosis, and in the third a defunctioning ileostomy and colostomy was made with later closure. This unusual cluster of patients with colonic atresia together with the causes of their preoperative complications is discussed.

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