DOI: https://doi.org/10.36347/sjmcr.2026.v14i02.024

Pages: 278-282

Small bowel atresia is a rare congenital malformation of the digestive tract characterized by a complete loss of intestinal continuity. It is a leading cause of neonatal bowel obstruction, with an estimated incidence of approximately 1 in 3,000 to 5,000 live births. Prenatal diagnosis relies on ultrasonographic findings, typically from the late second trimester onwards. Key indicators include dilated intestinal loops and, in some instances, polyhydramnios (notably in proximal obstructions). Optimal management necessitates close multidisciplinary collaboration between obstetricians, sonographers, neonatologists, and pediatric surgeons. This synergy ensures tailored delivery planning and prompt surgical intervention. Clinical priorities include screening for associated life-threatening anomalies, preventing preterm birth, and ensuring immediate postnatal surgical care. Surgical exploration is essential to determine the atresia type, its location (jejunal or ileal), whether it is solitary or multiple, and the length of the affected segment. These parameters are critical for selecting the appropriate surgical technique and determining the long-term functional prognosis. We report a clinical case of small bowel atresia diagnosed prenatally, highlighting the pivotal role of prenatal ultrasound screening and multidisciplinary care in improving outcomes for this rare condition.