Right-sided congenital diaphragmatic hernia, hepatic pulmonary fusion, duodenal atresia, and imperforate anus in an infant

J Pediatr Surg. 2011 Jul;46(7):1432-4. doi: 10.1016/j.jpedsurg.2011.01.024.

Abstract

We present a case of a neonate with VACTERL-like association, with the VACTERL association defined as the non-random association of vertebral, anal, cardiac, esophageal, renal/kidney, and limb defects, as manifested by a hemivertebra, imperforate anus, and digit anomalies, in rare association with duodenal atresia and right-sided diaphragmatic hernia. This constellation is previously undescribed and may offer insight into the pathogenesis of VACTERL and associated birth defects.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple / pathology*
  • Anal Canal / abnormalities
  • Anal Canal / pathology
  • Anus, Imperforate / pathology
  • Cryptorchidism / pathology
  • Duodenal Obstruction / diagnostic imaging
  • Duodenal Obstruction / embryology
  • Duodenal Obstruction / pathology*
  • Esophagus / abnormalities
  • Esophagus / pathology
  • Gallbladder / abnormalities
  • Heart Defects, Congenital / diagnosis
  • Heart Defects, Congenital / pathology*
  • Hernia, Diaphragmatic / surgery
  • Hernias, Diaphragmatic, Congenital*
  • Humans
  • Hypertension, Pulmonary / congenital
  • Infant, Newborn
  • Intestinal Atresia
  • Kidney / abnormalities
  • Kidney / pathology
  • Limb Deformities, Congenital / diagnosis
  • Limb Deformities, Congenital / pathology*
  • Liver / abnormalities
  • Liver / surgery
  • Lumbar Vertebrae / abnormalities
  • Lung / abnormalities
  • Lung / surgery
  • Male
  • Spine / abnormalities
  • Spine / pathology
  • Trachea / abnormalities
  • Trachea / pathology
  • Ultrasonography, Prenatal

Supplementary concepts

  • Familial duodenal atresia
  • VACTERL association