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Type IIIb intestinal atresia, also known as apple peel atresia, is a rare form of bowel atresia associating proximal jejunal atresia with wrapping of the distal small intestine in a spiral pattern around a thin vascular pedicle [1]. Even though mortality has declined steadily over the years, apple peel atresia remains a life-threatening malformation, which still leads to substantial morbidity and mortality [2]. The current opinion consists of preservation of as much bowel as possible (by doing end-to-end anastomosis) and of maximal peristaltic function (by doing resection, enteroplasty, or enterostomy of the dilated proximal segment), and an early enteral feeding [1,3,4]. Here, we report a case of a small premature infant with diagnosed apple peel atresia and prolonged the hospital stay.

Apple peel atresia: a rare case of a small premature infant