Korean J Obstet Gynecol.  2012 Sep;55(9):655-658. 10.5468/KJOG.2012.55.9.655.

Colon atresia, a rare comorbid condition in VACTERL association

• Hwangbo JH
• Heo EY
• Choo YS
• Bae JY
• Kim MJ
• Seong WJ

• KMID: 2274138
• DOI: http://doi.org/10.5468/KJOG.2012.55.9.655

Abstract

Vertebral, anal, cardiac, tracheoesophageal, renal and limb (VACTERL) association is defined by the presence of at least three of the following six congenital malformations: vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies and limb abnormalities. The abdominal cystic mass, suspicious of colon atresia was identified on prenatal ultrasonography. The new born infant exhibited single umbilical artery, hemivertebra, hypoplastic nasal bone, ventricular septal defect, patent ductus arteriosus, colon atresia. For treatment of colon atresia, two staged surgery was provided by a pediatric surgeon. We experienced colon atresia, a very rare comorbid condition in VACTERL association. Prompt diagnosis and surgical correction was possible with the cooperation of pediatric surgeons, obstetricians and pediatricians.

Keyword

VACTERL association; Colon atresia; Congenital malformations

MeSH Terms

Anal Canal
Anus, Imperforate
Colon
Ductus Arteriosus, Patent
Esophagus
Extremities
Fistula
Heart Defects, Congenital
Heart Septal Defects, Ventricular
Humans
Infant
Kidney
Limb Deformities, Congenital
Nasal Bone
Single Umbilical Artery
Spine
Trachea
Ultrasonography, Prenatal
Anal Canal
Esophagus
Heart Defects, Congenital
Kidney
Limb Deformities, Congenital
Spine
Trachea

Figure

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  Fig. 1 At 28/6 weeks of gestation, the hemivertebra was identified between thoracic vertebra No.10 and No.11 on prenatal ultrosonogram (arrow).

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  Fig. 2 At 38/1 weeks of gestation, the abdominal cystic mass 3×7 cm, suspicous of colon atresia was identified on ultrasonogram.

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  Fig. 3 At 38/1 weeks of gestation, a left ectopic kidney was identified.

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  Fig. 4 On the date of birth the baby showed a hypoplastic nasal bone (arrow).

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  Fig. 5 On the first day of birth, the lopogram showed narrowing colon near the hepatic flexure, representing colon atresia (arrow).

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