Abstract
A female infant weighting 1,952g, who was born by emergency cesarean section, was diagnosed with gastroschisis. On exploration, we encountered type III A jejunal atresia at 30cm anal to the pylorus and type III A colon atresia at 10cm anal to the ileocecal valve. The size of the abdominal wall defect was 1cm in diameter. A jejunostomy with an anastomosis of the ascending colon was performed with a primary closure of the abdominal wall. On the 94th day of life, she underwent a jejunostomy closure, in which laparotomy revealed another membranous atresia at 2cm anal to the anastomosis of the colon, and multiple membranous atresia with intervals of 3 to 5cm in the distal portion of the jejunostomy. All of the atretic segments were resected and anastomosis of the jejunum as well as ascending colon was performed. We speculate multiple intestinal atresia in this case should be attributed to a small-sized abdominal wall defect that may have caused a strangulation of the bowel at multiple sites. One should be aware that multiple membranous intestinal atresia can coexist with interrupted intestinal atresia in patients with gastroschisis
