Abstract

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Highlights

  • Colonic atresia is a rare congenital neonatal intestinal obstruction; rarer still is its association with anorectal malformations (ARM)

  • A small inverted V-shaped incision was given in left iliac fossa for a sigmoid colostomy, but a sigmoid colonic atresia was noted

  • It was 3 to 4cm long with no external communication or any opening in perineum. Both ends of the atresia were exteriorized as colostomy

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Summary

Introduction

Colonic atresia is a rare congenital neonatal intestinal obstruction; rarer still is its association with anorectal malformations (ARM). A 40-hour-old full-term female baby, weighing 2.5kg, born via normal vaginal delivery at some clinic, presented with abdominal distension, bilious vomiting and failure to pass meconium since birth. The baby tolerated few feeds initially but developed abdominal distention and non-bilious vomiting which later turned to bilious. The patient was dehydrated with grossly distended abdomen.

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