# A Rare Case of Apple Peel Ileal Atresia With Coexisting Colonic Atresia: Surgical Management and Outcomes

## TL;DR

A rare case of apple peel ileal atresia combined with colonic atresia in a newborn was successfully treated with surgery.

## Contribution

This paper presents a unique case of coexisting apple peel ileal and transverse colonic atresia in a neonate.

## Key findings

- Apple peel ileal atresia and transverse colonic atresia were successfully treated with primary anastomoses.
- The patient had an uneventful postoperative recovery with normal feeding and bowel movements.

## Abstract

Ileal atresia is one of the most frequent causes of congenital intestinal obstruction. Type IIIb, also known as apple peel atresia, is the least common subtype. Colonic atresia is a rare anomaly that can also cause neonatal intestinal obstruction. Both can coexist with other atypical malformations, further complicating diagnosis. The surgical management of these two gastrointestinal malformations differs between centers, and no standardized procedural guidelines currently exist. We present a case of a neonate born with apple peel ileal atresia coexisting with transverse colonic atresia, both successfully treated with primary anastomoses. The postoperative course was uneventful, and the patient was discharged with full oral feeding and regular bowel movements.