2024 Volume 60 Issue 7 Pages 978-984
We report a case of congenital small intestinal atresia in siblings. Case 1: A boy (first child) was born at 35 weeks and 6 days weighing 2,860 g. He presented with bilious vomiting after birth, and an echocardiogram showed a torsion of the small intestinal axis, which led to emergency surgery. The patient was found to have intestinal atresia (type II) at 85 cm from the Treitz ligament and small intestinal axis torsion originating at the same site. The patient underwent resection and anastomosis of the small intestine. Case 2: A girl (second child) was born at 35 weeks and 1 day weighing 2,696 g. She was admitted to our hospital because of hypoglycemia after birth. An X-ray showed a dilated intestinal tract, and emergency surgery was performed on suspicion of small intestinal atresia. The intestinal atresia (type IIIa) was found at 100 cm from the Treitz ligament. Resection and anastomosis of the dilated intestine were performed. Congenital small intestinal atresia is a neonatal surgical disease that occurs in 1 in 5,000 to 10,000 live births. The case is not familial in general, and cases occurring in the same family are extremely rare.
