Document Type

Article

Publication Date

4-11-2025

Identifier

DOI: 10.7759/cureus.82082; PMCID: PMC12066090

Abstract

Intestinal atresias are a common cause of neonatal intestinal obstruction. An extremely rare variant is total intestinal atresia, where no lumen is appreciable from the duodenum through the colon. We describe a case of a 33-week female who was born at an outside hospital and underwent laparotomy for concern for intrauterine perforation and proximal intestinal obstruction. Laparotomy revealed a duodenal perforation and an atresia in the proximal jejunum. Resection of this segment revealed no intestinal lumen distally, and the patient was left in discontinuity and transferred to our tertiary children's hospital. Repeat laparotomy revealed atretic bowel with no lumen through the colon with a normal appearing mesentery. A decompressive gastrostomy tube was placed, and the patient passed away after withdrawal of care. Total intestinal atresia is a rare variation of intestinal atresia with no current surgical or medical treatments.

Journal Title

Cureus

Volume

17

Issue

4

First Page

82082

Last Page

82082

PubMed ID

40352009

Keywords

bilious emesis; intestinal atresia; neonatal obstruction; neonatology; total intestinal atresia

Comments

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Publisher's Link: https://www.cureus.com/articles/359103-total-intestinal-atresia-in-a-neonate-a-case-report#!/

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