Gastroschisis and intestinal atresia are rare congenital gastrointestinal tract anomalies that coincide with each other in 5%-15% of cases. In contrast, there are only two reported cases of Hirschsprung's with simultaneous gastroschisis. We report the first case of gastroschisis, ileal atresia, and Hirschsprung's disease in a newborn. Despite the high morbidity and mortality associated with simultaneous congenital gastrointestinal tract anomalies, surgical management of these patients is feasible.
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