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Figure 4:
Meconium ileus in a newborn with jejunal atresia. Intraoperative photograph (patient's head toward the top) shows a dilated proximal jejunum (J), which abruptly changes caliber at the site of a focal atresia (black arrow). The free edge of the interrupted mesentery is seen (arrowheads). The distal small bowel spirals around a vascular pedicle (white arrows) in an "apple peel" configuration and appears lobulated due to retained meconium. (Courtesy of Henry Lau, MD, Children's Hospital of Philadelphia, Pa.).
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Copyright © 1996 by the Radiological Society of North America