DEAR SIR

Intestinal atresia is fourth common cause of neonatal intestinal obstruction [1]. Colonic atresia is relatively rare with an incidence of 1:40,000 to 1:60,000 live births. Coexisting jejunoileal and colonic atresias are scarcely described in literature [2,4,5]. A full term male baby, weighing 2.9 kg, presented to us with neonatal intestinal obstruction. A routine ante-natal ultrasound had shown dilated loops of bowel. The baby did not tolerate feeds and pass meconium rather developed progressive abdominal distension and bilious vomiting. Abdominal X-ray showed dilated bowel loops. A contrast enema showed micro colon and cut off sign at splenic flexure (Fig. 1). Our preoperative diagnosis was colonic atresia. After resuscitation and optimization, operation was performed that revealed concomitant type I jejunoileal an