# Experience in the Management of Complex Apple Peel Intestinal Atresia in a Limited-Resource Health Center in Mexico

## TL;DR

This case report describes successful surgical techniques for treating rare intestinal atresia in two newborns at a limited-resource hospital in Mexico.

## Contribution

The paper presents a novel surgical approach for managing complex apple peel intestinal atresia in a resource-limited setting.

## Key findings

- A successful surgical technique was applied to treat isolated apple peel atresia in two full-term female newborns.
- The described approach helped manage postsurgical complications effectively in a limited-resource health center.
- The case report highlights the importance of individualized surgical treatment for complex intestinal malformations.

## Abstract

Surgical treatment of complex intestinal atresia is challenging. Moreover, multiple surgical techniques have been described to treat these congenital malformations. As no single/universal technique is useful for every patient, individualized surgical treatment for these complex cases is mandatory. Isolated apple peel atresia (type IIIb), in coexistence with other types of atresia, is a rare event with a poor functional prognosis, which is difficult to treat surgically. Furthermore, the ability to achieve good surgical results becomes more difficult in resource-limited health facilities, such as the Hospital Pediatrico Moctezuma (Mexico City). The objective of this case report of two full-term female newborns with isolated apple peel atresia and an apple peel malformation with distal type IV atresia is to describe the successful surgical technique used in these patients and how to deal with certain postsurgical complications.