Abstract

A newborn who had been followed up by another center with the diagnosis of antenatal polyhydroamniosis was referred to our hospital because of detection of anal atresia and inability to insert a nasogastric tube. A contrast radiography was performed and an esophageal atretic pouch was detected. Visualization of a double bubble sign also established the diagnosis of duodenal atresia. Since the patient’s birth week and birth weight was suitable; through laparatomy incision gastrojejunostomy was performed and sigmoid diverting colostomy was opened. Then, right thoracotomy was performed, and tracheaesophageal fistula was closed, and finally end- to -end esophageal anastomosis was realized to treat esophageal atresia. Our case is a rare example of isochronous anomalies of gastrointestinal system and we also aim to analyze alternatives, and challenges concerning diagnosis and treatment.