iarjmcrIARJMCRIARJMCR2709-3220https://doi.org/10.47310/iarjmcr.2021.v02i02.005Neonate with Jejunal Atresia with Distal Ileal Volvulus Caused by Meckel’s DiverticulumSittiRiriHafsariSuwardiJejuno-ileal atresia (JIA) is the commonest type of intestinal atresia and accounts for around 1 in 5000 to 1 in 14,000 live births. Meckel's diverticulum (MD) is an outpouching or bulge of the small intestine. MD has also been found along with JIA as a result of intrauterine vascular accident. This case report presents a 3-day-old neonate who was then diagnosed with jejunal atresia with distal ileal volvulus caused by Meckel’s diverticulum. Presented with bloated abdomen, vomited clear yellowish fluid and not defecated after meconium passage within 24 hours. The diagnose was supported with specific characteristic on physical examination, laboratories and imaging results. Patient underwent explorative laparotomy to be found that the proximal ileum had jejunal atresia where the distal part had adhesion. Adhesiolisis, resection and anastomosis of the bowel surgery was done, after confirmed the passage was clear and viable. Intestinal atresia is one of the main causes of intestinal obstruction, as in our patient was found MD during surgery for JIA with volvulus. MD can cause vascular accident and necrotic bowel with volvulus as its clinical manifestation. Such patients are treated with resection of the atresia and anastomosis. However, when intestinal atresia and volvulus present together, the anastomotic leakage and mortality rate are significantly higher.