Tapering Enteroplasty for Complicated Meconium Ileus

Meconium ileus (MI) presenting with complications such as volvulus, atresia, necrosis, perforation, peritonitis, or giant cystic meconium peritonitis demands operative intervention and often requires a small bowel resection. These patients are at increased risk of short bowel syndrome if a significant portion of bowel must be resected. We report on a 1- day-old boy who was found to have a complicated MI with volvulus causing a long ischemic strip of small bowel. An enteroplasty was successfully employed to maintain bowel continuity after removing a 2 by 50 cm segmental area of ischemic bowel.