Abstract
Embryologically, duodenal atresia results from inadequate recanalization and proliferation of the solid cord in the 8–10th week of gestation, while apple-peel atresia is a consequence of a vascular accident. The presence of both malformations is rather rare. We report a case with both associations; to our knowledge, this is the twelfth such case reported in the English literature. • A 1.7kg baby girl was born at 34.4 weeks with a double bubble sign. • The baby was taken up for surgery on her sixth day of life. • On laparotomy, she was found to have duodenal atresia associated with apple-peel configuration. • Only 20 cm of the jejunum had the apple peel configuration with precarious blood supply. • The part of the bowel with precarious blood supply was resected and an end-to-end duodenojejunal anastomosis was performed. • On her forty-third day of life, she underwent pulmonary artery banding and closing of the ductus arteries. • The baby was started on gradual enteral feeds in the course of sixth postoperative cardiac surgery.
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