Type-IV intestinal atresia: A challenging congenital anomaly with successful management.

Intestinal atresia is one of the most common and complex congenital deformity of neonatal life causing intestinal obstruction. It has four sub-types based on the anatomy of the atresia. Among these four types, Type-IV, which involves multiple atresia segments, is the most severe and rare with high mortality. The biggest surgical challenge is to save enough gut length to prevent long-term complications like short gut syndrome. Early diagnosis and surgical intervention with the right procedure choice is key for survival. Additionally, postoperative neonatal care, parenteral nutrition, and early feeds are crucial for a successful outcome. We present a case report of a newborn with Type-IV intestinal atresia who underwent successful surgical management, highlighting the importance of early diagnosis and prompt intervention with the choice of primary anastomosis.