title: A case of duodenal atresia with apple peel appearance: challenging the current embryology.
abstract: Classically, embryology of duodenal atresia has been linked to defect in recanalization process, while apple-peal atresia of small bowel has been considered as due to vascular accident during embryonic life. We present a 33 week preterm neonate with duodenal atresia with the apple-peal appearance of proximal jejunum for which resection of the jejunum with apple-peal configuration, plication of the duodenum, and duodono-jejunal anastomosis was done. Thus, this rare case of ours questions the embryology of duodenal atresia with the apple-peal appearance suggesting it to be due to a vascular disruption phenomenon during embryonic life.
authors.affiliation: Department of Pediatric Surgery, RNT Medical College, Udaipur, Rajasthan, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Pathak
authors.affiliation: Department of Pediatric Surgery, RNT Medical College, Udaipur, Rajasthan, India.
authors.forename: Dipanshu
authors.initials: D
authors.lastname: Narula
keywords: Apple-peal atresia; duodenal atresia; embryology