A neonatal intestinal obstruction with unusual presentation

A two days old male child was admitted with features of neonatal intestinal obstruction. Straight x-ray abdomen showed distended small intestinal loops with few air fluid levels. After resuscitation abdomen was explored. There was distal ileal atresia with duplication cyst. Resection of atretic segment along with duplication cyst was performed and end to side ileo-ileal anastomosis with proximal ileostomy was done. Patient recovered uneventfully. Till now patient is doing well.