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  • Title: Associated type IIIB and type IV multiple intestinal atresia in a pediatric patient.
    Author: Balanescu R, Topor L, Stoica I, Moga A.
    Journal: Chirurgia (Bucur); 2013; 108(3):407-10. PubMed ID: 23790793.
    Abstract:
    Multiple intestinal atresia (MIA) is a complex congenital defect which represents a challenge for the pediatric surgeon,especially in the rare event of encountering type IIIb or apple peel atresia, which has a high mortality rate. The surgeon’s aim is to preserve as much bowel length as possible, to avoid postoperative sepsis and to prevent long-term complications such as short bowel syndrome. Access to a good neonatal intensive care unit and to parenteral nutritional support is crucial in the survival of these children. We report a rare case of multiple intestinal atresia associated with an apple peel atresia, which was managed by multiple intestinal resections and anastomosis without the placement of transanastomotic tubes or stomas.
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