title: Associated type IIIB and type IV multiple intestinal atresia in a pediatric patient.
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.
authors.affiliation: Grigore Alexandrescu Clinical Emergency Hospital for Children, Bucharest, Romania.
authors.forename: R
authors.initials: R
authors.lastname: Balanescu
authors.forename: L
authors.initials: L
authors.lastname: Topor
authors.forename: I
authors.initials: I
authors.lastname: Stoica
authors.forename: A
authors.initials: A
authors.lastname: Moga
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000601:surgery; D000714:Anastomosis, Surgical; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D007409:Intestinal Atresia / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D007582:Jejunostomy; D007583:Jejunum / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal