Congenital Extremely Short Bowel with Atresia

A premature neonate, born at 32 weeks gestation to a primigravida, weighing 1.3 kg was admitted with bilious vomiting on 3rd day of life. The mother never had an antenatal care and the local birth attendant in the village had conducted the delivery. The baby’s general condition was poor. He was diagnosed to have duodenal atresia; no other associated anomaly was apparent. He was septicemic; blood culture grew candida non-albicans. Exploration revealed grossly dilated stomach and duodenum; the duodenum abruptly ended at its third part. There was complete absence of small bowel and mesentery. There was small tubular structure of 2 cm size was attached to the caecum representing terminal ileum. Appendix and colon looked normal, and so were liver, pancreas and biliary duct system. Duodeno-colic anastomosis was done.