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Introduction and Importance: Type 1 jejunoileal atresia with multiple webs is a rare congenital condition that poses significant surgical challenges in neonates. Understanding the unique presentation and management strategies in such cases is crucial for improving patient outcomes., Case Presentation: We report two cases involving full-term neonates presenting with severe abdominal distension and bilious vomiting. Radiologic studies confirmed intestinal obstruction due to multiple jejunoileal webs. The first case was managed with jejunoileal resection and anastomosis, while the second case underwent web excision with jejunoileoplasty. Despite successful surgeries, both patients faced significant postoperative complications, leading to fatal outcomes., Clinical Discussion: These cases illustrate the complexity of managing type 1 jejunoileal atresia with multiple webs, emphasizing the importance of early diagnosis, meticulous surgical intervention, and comprehensive postoperative care. The condition, while rare, requires a tailored approach to optimize surgical outcomes and patient survival., Conclusion: The cases highlight the critical need for standardized treatment protocols and vigilant postoperative monitoring in managing neonatal intestinal obstructions, particularly in rare conditions such as type 1 jejunoileal atresia with multiple webs. This report contributes to the surgical literature by providing insights into the challenges and potential strategies for managing such complex cases., Competing Interests: Declaration of competing interest All authors have no conflicts of interest to declare., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Introduction and Importance: Blunt abdominal trauma can result in various injuries, including intestinal hematomas causing obstruction. Traumatic submucosal jejunal hematomas are rare, especially in children, with bicycle handlebar injuries being a potential cause. Prompt recognition and appropriate imaging are crucial for accurate diagnosis and management., Case Presentation: A 10-year-old boy presented with delayed abdominal pain, vomiting, and absence of bowel movements following blunt abdominal trauma from a bicycle handlebar injury. Abdominal CT scan confirmed a submucosal jejunal hematoma, leading to exploratory laparotomy and duodenojejunostomy., Clinical Discussion: Bicycle handlebar injuries, although seemingly minor, can cause significant internal damage, especially in children. Delayed symptoms pose a diagnostic challenge, necessitating a high index of suspicion and imaging modalities like CT scans for timely intervention., Conclusion: This case underscores the importance of considering traumatic submucosal jejunal hematomas in children with blunt abdominal trauma, particularly from bicycle handlebar injuries. Surgical intervention may be necessary in cases of complete intestinal obstruction, emphasizing the need for prompt diagnosis and treatment., Competing Interests: Declaration of competing interest All authors have no conflicts of interest to declare., (Copyright © 2024. Published by Elsevier Ltd.)