Multiple intestinal atresia is a rare disorder with vascular or hereditary
etiology. So far, the occurrence of this malformation along with omphalocel
e has not been reported. We describe a boy born from a nonconsanguineous gy
psy couple with intrauterine growth retardation, omphalocele, and multiple
intestinal atresia from the pylorus to the rectum. The microscopic examinat
ion of the intestine shows multiple small lumina with a sieve-like appearan
ce. This is characteristic of the hereditary atresias and suggests developm
ent of a defect in (re) canalization during embryogenesis. The association
with omphalocele indicates a common developmental defect may be present.