Oesophageal atresia associated with pyloric atresia

Pyloroduodenal atresia is a rare and usually isolated anomaly. Crowe and Sumner (1978) recently reported a newborn with pyloroduodenal atresia, isolated oesophageal atresia (Gross Type 1) and cardiac and skeletal malformations. We wish to report a similar case and review the diagnostic techniques that can lead to the correct diagnosis of a second obstructing lesion in an infant with an isolated oesophageal atresia. A female infant (birth weight 2840 g), was born to an 18-year-old primigravida after an uneventful pregnancy. Hydramnios was noted at delivery. The infant was markedly cyanotic and in respiratory distress. There was a loud left parasternal systolic murmur. Examination also revealed low-set ears, an unusual facial appearance and generalized hirsutism.