A 30-day-old female patient was evaluated for status post failed ileocolonic anastomosis due to intestinal atresia. (a) Scout radiograph demonstrates an unremarkable bowel gas pattern. (b–d) Fluoroscopic contrast enema demonstrates contrast refluxing into the rectum, sigmoid, descending, and distal transverse colon, which is small in caliber. There is abrupt termination of the contrast column in the mid transverse colon (arrows), highly suggestive of an area of colonic atresia.