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Plain abdominal X-ray. (a) Supine view showing dilated small bowel loops. (b) Erect view showing multiple air-fluid levels.
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Abdominal X-ray showed dilated bowels with multiple air-fluid levels, empty rectum features suggestive of intestinal obstruction (Figure 1).
Intraoperative photograph showing type IIIa jejuno-ileal atresia (arrows showing blind ends).
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After stabilizing and correcting of electrolytes (serum sodium and potassium), on day 3 post admission, laparotomy was done and intra-operatively there was distended loop of small intestine about 70 cm from Treitz Ligamentum with blind end, the distal loop was collapsed with a meconium plug at its blind loop (Figure 2).