Oesophageal atresia (OA), with or without a tracheoesophagealfistula (TOF), congenital diaphragmatic hernia (CDH) and posteriorurethral valves (PUV) are congenital anomalies that occur between 1every 3500 to 4500; 1 every 2000 to 4000 and 1 every 7800 respectively [1,2]. In Malta, excluding associated chromosomal syndromes,OA ± TOF, CDH and PUV have a prevalence of 2.91, 6.41 and 2.91respectively [3]. The combination of OA with or without TOF and CDHis rare with only 19 cases reported up to 1998 [4]. Currently there is nodata in the literature of the triad OA ± TOF, multiple CDH and PUV.We report the case of a child who was found to suffer from OA withTOF, PUV and an incidental finding of anterior diaphragmatic and bilateral Morgagni hernias.
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