Surgical Interventions of Congenital Colonic Atresia in a Neonate: A Case Report

Abstract

Colonic atresia is one of the rarest congenital anomalies of the gastrointestinal tract accounting for 1.8- 15% of all intestinal atresia. The clinical manifestations of colonic atresia typically present within 24–48 hours after birth with progressive abdominal distension, failure to pass meconium, and later, vomiting. Surgical management is the mainstay of therapy. Colonic atresia is a rare congenital anomaly that should be considered an important cause of distal intestinal obstruction in newborns. The choice of surgical technique depends on the patient’s condition and the surgeon’s experience. The case presents a 9-day-old child with vomiting from the second day of life, abdominal distension and not passing stool. A barium enema was done and patients underwent exploratory laparotomy with divided colostomy done which after 3 months closure done. Early diagnosis and timely surgical intervention are crucial in determining the prognosis.