Korean J Perinatol.  2003 Dec;14(4):438-441.

A Case of VACTERL Association Diagnosed by Autopsy

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea, Seoul, Korea. jcshin@catholic.ac.kr

Abstract

VACTERL association is occuring in conjuction with vertebral anomalies, anal atresia, cardiac abnormalities, tracheoesophageal fistula, renal agenesis and limb defects. Additional abnormalities may include microphthalmia, abnormal lung lobulation and spleen defects. We describe a infant born to consanguineous healthy parents with multiple congenital anomalies of the skeleton and internal organs. A woman at 25 weeks gestaion was transferred to our hospital due to abnormal antenatal sonographic finding(molded calvarium, huge mass in abdomen, hyperechoic intestine and femur bowing). She admitted to our hospital due to decreased fetal movement 3 weeks later. Fetal death in uterus was diagnosed by sonogram. Its phenotype displays imperforated anus, absence of genital organ, absence of utrethral opeining, disunion of maxilla and mandible, varus deformity of bilateral knee joints, widening of interphalangeal space in right foot. The diagnosis was confirmed by clinical features, radiological findings, and autopsy. We reported this case of VACTERL association with review of literatures.

Keyword

VACTERL association; anal atresia; varus deformity of bilateral knee joints; widening of interphalangeal space in right foot

MeSH Terms

Abdomen
Anal Canal
Anus, Imperforate
Autopsy*
Congenital Abnormalities
Diagnosis
Extremities
Female
Femur
Fetal Death
Fetal Movement
Foot
Genitalia
Humans
Infant
Intestines
Knee Joint
Lung
Mandible
Maxilla
Microphthalmos
Parents
Phenotype
Skeleton
Skull
Spleen
Tracheoesophageal Fistula
Ultrasonography
Uterus
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