Abstract

Obstructions in the lower intestinal tract, specifically colonic and rectal atresias, are distinct conditions that share similarities but necessitate different surgical interventions. Most of our understanding regarding these malformations is derived from isolated Case Report and a limited number of comprehensive investigations. Rectal atresia is a rare congenital anomaly characterized by a normal anus but an obstructed rectum. Its cooccurrence with other digestive system abnormalities, particularly colonic atresia, is even less frequent. We present an unusual case in which rectal atresia is observed in conjunction with colonic atresia, which was not detected during the initial surgical procedure. Contrast enema revealed only 2 cm of the anal canal from the distal end. The infant underwent surgical intervention for rectal atresia via the posterior sagittal approach. An end-to-end anastomosis was performed following resection of the atretic segment. Postoperatively, the patient was maintained on a regimen of regular Hegar's dilatation. Rectal atresia with colonic atresia is an exceedingly rare anomaly with very few cases reported in the literature. Awareness of such coexistence may minimize further complications.

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