Unveiling neonatal intestinal obstruction due to total colonic atresia: A case report


  • Fawad Mueen Arbi Bahawal Victoria Hospital, Bahawalpur
  • Muhammad Zulfiqar Anjum Quaid-e-Azam Medical College, Bahawalpur
  • Zeeshan Iqbal Department of Pediatric Surgery, Bahawal Victoria Hospital, Bahawalpur
  • Seerat Fatima Department of Pediatric Surgery, Bahawal Victoria Hospital, Bahawalpur




Colonic Atresia, Neonatal Intestinal Obstruction, Surgical Management, Congenital Anomaly, Newborn, Ileostomy


Background: Total colonic atresia is an uncommon congenital anomaly associated with neonatal intestinal obstruction, often necessitating prompt diagnosis and surgical intervention to prevent life-threatening complications. Understanding the etiology and optimal management strategies is crucial for ensuring favorable outcomes.

Case Presentation: We present a case of a full-term male neonate with total colonic atresia, who presented with failure to pass meconium, abdominal distension, and vomiting. Diagnostic imaging confirmed intestinal obstruction, leading to surgical exploration revealing an atretic colon extending from the Ileocolic Junction to the Rectosigmoid Junction. An ileostomy was performed, followed by meticulous postoperative care, resulting in a successful resolution of symptoms and discharge from the hospital.

Conclusion: Timely recognition and staged surgical management are paramount in addressing total colonic atresia, emphasizing the importance of early intervention for optimal patient outcomes. Long-term follow-up and comprehensive care are essential to ensure the overall well-being of affected newborns.


Download data is not yet available.


Metrics Loading ...


Chouikh T, Charieg A, Mrad C, Ghorbel S, Saada S, Benkhalifa S, et al. Congenital colonic atresia: 4 case reports. J Pediatr Neonatal Care. 2014;1(3):00018.

Allert T, Schellerer V. Distal colonic atresia: a case report. J Surgical Case Rep. 2023;2023(6):rjad335.

Hull NC, Kim HH, Phillips GS, Lee EY. Neonatal and pediatric bowel obstruction: imaging guidelines and recommendations. Radiologic Clinics. 2022;60(1):131-48.

Erskine JM. Colonic stenosis in the newborn: the possible thromboembolic etiology of intestinal stenosis and atresia. J Pediatr Surg. 1970;5(3):321-33.

Mandelbrot L. Fetal varicella–diagnosis, management, and outcome. Prenatal diagnosis. 2012;32(6):511-8.

Haxhija EQ, Schalamon J, Höllwarth ME. Management of isolated and associated colonic atresia. Pediatr Surg Int. 2011;27(4):411-6.

Maxfield CM, Bartz BH, Shaffer JL. A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 2013;43:318-29.

Hsu CT, Wang SS, Houng JF, Chiang PJ, Huang CB. Congenital colonic atresia: report of one case. Pediatr Neonatol. 2010;51(3):186-9.




How to Cite

Arbi FM, Anjum MZ, Iqbal Z, Fatima S. Unveiling neonatal intestinal obstruction due to total colonic atresia: A case report. J Neonatal Surg [Internet]. 2024Apr.26 [cited 2024Jul.21];13:19. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/1305