A DIAGNOSTIC DILEMMA WITH CONGENITAL TRIPLE ATRESIA

Introduction: It is commonly known that Esophageal Atresia (EA) and Duodenal Atresia (DA)/Duodenal Stenosis (DS) can occur together, either alone or in combination with Tracheoesophageal fistula (TEF) 1,2. In around 10% of cases of anorectal malformations, tracheo-esophageal obstruction is known to exist; additionally, 1–2% of cases of anorectal malformations are documented to also include duodenal atresia. 3,4 Case Report: A preterm female neonate was brought to the Department of Paediatric Surgery one day with excessive salivary drooling and no meconium passage since birth. The neonate had a history of polyhydramnios, which was discovered at 28 weeks of gestation and resulted in fetal distress at 32 weeks, which caused preterm delivery. The diagnosis of pure oesophageal atresia was confirmed by an X-ray of the chest and abdomen taken with a nasogastric tube in place. It revealed a gasless belly and the coiling of the tube in the upper oesophageal pouch in the upper chest. Recognizing triple atresia High suspicion in all cases Conclusion: of anorectal malformation or oesophageal atresia; prompt diagnosis and treatment are essential for lowering mortality and improving prognosis in triple atresia cases.