{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:39:11Z","timestamp":1763001551438,"version":"3.45.0"},"reference-count":4,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,10,21]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>Esophageal atresia (EA) and congenital diaphragmatic hernia (CDH) are commonly seen in paediatric surgical practice but their coexistence is rare. We present a case of a term male neonate with left CDH and atresia at the gastroesophageal (GE) junction. The patient underwent left CDH repair with gastroesophageal anastomosis in the same sitting. The postoperative course was turbulent with the patient developing sepsis and requiring ventilator support, which was successfully managed. Once feeds were started, an oral dye study revealed smooth transit of dye into the stomach. He was discharged and was well at 1, 3 and 6 months of follow-up. Management of such unique cases can be challenging and the surgeon should be ready for intraoperative surprises.<\/jats:p>","DOI":"10.1136\/bcr-2025-268314","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:35:18Z","timestamp":1763001318000},"page":"e268314","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Atresia at the gastroesophageal junction associated with left congenital diaphragmatic hernia: a diagnostic and surgical challenge"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7477-9437","authenticated-orcid":false,"given":"Muni","family":"Varma","sequence":"first","affiliation":[{"name":"Paediatric Surgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanvir Roshan","family":"Khan","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shrikesh","family":"Singh","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Srivastav","sequence":"additional","affiliation":[{"name":"Paediatric Surgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,11,12]]},"reference":[{"key":"2025111218351235000_18.11.e268314.1","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/BF00173360","article-title":"Left diaphragmatic hernia associated with lower esophageal atresia","volume":"8","author":"Takehara","year":"1993","journal-title":"Pediatr Surg Int"},{"key":"2025111218351235000_18.11.e268314.2","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jamcollsurg.2012.09.014","article-title":"Congenital diaphragmatic hernia associated with esophageal atresia: incidence, outcomes, and determinants of mortality","volume":"216","author":"Ben-Ishay","year":"2013","journal-title":"J Am Coll Surg"},{"key":"2025111218351235000_18.11.e268314.3","doi-asserted-by":"crossref","DOI":"10.1155\/2010\/738546","article-title":"A rare association of congenital diaphragmatic hernia with lower esophageal atresia and perforation","volume":"2010","author":"Are","year":"2010","journal-title":"Int J Pediatr"},{"key":"2025111218351235000_18.11.e268314.4","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1007\/BF00176204","article-title":"Coexisting left diaphragmatic hernia and esophageal atresia","volume":"2","author":"Udassin","year":"1987","journal-title":"Pediatr Surg Int"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268314","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T02:35:19Z","timestamp":1763001319000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":4,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11,12]]},"published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1136\/bcr-2025-268314"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268314","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11]]}}}