# Extremely Premature Infant and Digestive Malformations: Case Report of Atypical Postoperative Journeys

## TL;DR

This paper presents a rare case of a very premature infant with a digestive malformation and an unusual recovery after surgery.

## Contribution

The novelty lies in the detailed documentation of an atypical postoperative journey in an extremely premature infant with microcolon.

## Key findings

- The case highlights the importance of early recognition of rare digestive malformations in extremely premature infants.
- A favorable outcome was achieved through coordinated multidisciplinary care despite a complex postoperative course.

## Abstract

Background and Clinical Significance: Extremely premature infants face complex medical challenges requiring comprehensive multidisciplinary care. Gastrointestinal malformations, while rare, pose significant diagnostic and therapeutic challenges in this vulnerable population. Case Presentation: We report a case of an extremely premature infant born at 26 weeks gestation with very low birth weight (950 g) who developed a digestive pathology rarely encountered in neonatal intensive care: microcolon, which required surgical consultation and intervention, followed by an atypical postoperative course. Conclusions: The early recognition of gastrointestinal malformations in extremely premature infants requires high clinical suspicion and prompt multidisciplinary intervention. Despite complex postoperative course, favorable outcomes are achievable with coordinated care.