A Newborn’s Silent Struggle

Explore a rare case of a preterm Neonate with severe respiratory distress where standard intubation fails. What could be the underlying congenital anomaly?

Tracheal agenesis with bronchoesophageal fistula


A neonate delivered at 32 weeks developed cyanosis and respiratory distress after delivery. His mother had not received regular antenatal care. Endotracheal intubation and tracheostomy were attempted without success. A barium esophagram was done. What is the diagnosis?

What is the most likely diagnosis?

Tracheal agenesis with bronchoesophageal fistula
Squamous cell carcinoma of the trachea
Zenker’s Diverticulum
Pharyngeal pseudodiverticulum
Laryngotracheoesophageal cleft

Congenital Anomaly, Failed Intubation, Neonatal Respiratory Distress, Tracheal agenesis with bronchoesophageal fistula, Trisomy 18

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