Colonic Atresia in Neonates: Management Dilemma in a Developing Country

Background: Colonic atresia is one of the rarest causes of congenital intestinal obstructions. Its diagnosis is difficult, but prenatal investigations can improve it. The management of colonic atresia is not codified and depends on the resources available and surgeon’s experiences. Case Series: We report three neonates presented with intestinal obstruction. At surgery, the diagnosis of colonic atresia was made. Two neonates were managed with an initial stoma. One baby died intraoperatively. Conclusion: Management of colonic atresia is challenging in a developing country. Staged management with a stoma as initial procedure suits best to such settings.