A 1-Hour-Old Boy Is in the Neonatal Intensive Care Unit

A 1-hour-old boy is in the neonatal intensive care unit due to tachypnea and hypoxia.  The infant was born at 39 weeks gestation via cesarean delivery due to recurrent variable decelerations.  The pregnancy was complicated by lack of prenatal care.  The infant weighs 3.2 kg (7 lb 1 oz) .  Physical examination shows a flattened nose and bilateral club feet.  Breath sounds are markedly diminished bilaterally.  The infant is intubated and mechanically ventilated, but oxygen levels do not improve.  He dies an hour later.  Which of the following is most likely to be found during autopsy of this infant?

A) Congenital diaphragmatic hernia
B) Duodenal atresia
C) Renal agenesis
D) Surfactant deficiency
E) Tracheoesophageal fistula

Correct Answer:

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