In neonatal intestinal atresia, Apple peel (Christmas tree) deformity is a variant of which type of jejuno-ileal atresia?
- A Type I (mucosal web)
- B Type IIIb ✓
- C Type II (fibrous cord)
- D Type IV (multiple atresias)
Correct answer: B. Type IIIb
Explanation
Grosfeld classification of jejuno-ileal atresia: Type I = intraluminal membrane; Type II = fibrous cord between blind ends; Type IIIa = complete gap with V-shaped mesenteric defect; Type IIIb = Apple peel/Christmas tree atresia (proximal jejunal atresia, absent superior mesenteric artery, distal ileum spirals around right colic artery); Type IV = multiple atresias. Type IIIb carries the worst prognosis due to short bowel syndrome.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.