Tracheal Agenesis: A Rare Congenital Anomaly

Priyank Ghanchi, Ankita Badhiye, Uma Nayak, Vidhi Parikh

Abstract

Tracheal agenesis (TA) is a rare congenital anomaly with a prevalence of < 1 in 50,000 live births. It is one of the causes of weak cry after birth. Affected neonates present with respiratory distress, inaudible cry, and difficulty in establishing endotracheal intubation, which ultimately lead to death. TA is usually associated with congenital high airway obstruction syndrome (CHAOS). However, some reports mention that it is associated with vertebral anomalies, anal atresia, cardiovascular anomalies, tracheoesophageal fistula, esophageal atresia, renal anomalies, and limb anomalies (VACTERL).

In this case report, we describe a rare case of a neonate with type II TA, bronchoesophageal fistula, and absence of the right kidney. This report presents the diagnostic methods, workup, management approach, and future interventions.