Purpose or Case Report: Congenital Intrathoracic Stomach (CITS) is a rare and challenging congenital anomaly, particularly when associated with a very short esophagus and gastric outlet atresia. We present a case of a neonate born at 32 weeks of gestation with complex left Congenital Diaphragmatic Hernia (CDH), where intra-operative findings revealed an intrathoracic stomach that could not be reduced to the abdomen. Post-operative fluoroscopic images demonstrated an irregular stomach in the chest, extending from the thoracic inlet to the diaphragm. The proximal esophagus was exceptionally short, measuring approximately 1 cm in length, and there was a short 0.7 cm long blind-ending tubular structure or outpouching at the inferior end of the stomach, suggestive of pyloric or duodenal atresia. This case report describes the clinical presentation, radiographic findings, and surgical management of this rare anomaly.
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