IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

VACTERL

Case contributed by Paul Smith
Diagnosis almost certain
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
x-ray

Dysmorphic patient presenting with:

  • multiple vertebral fusion abnormalities
  • congenital heart disease (VSD)
  • trache-oesphageal fistula with esophageal atresia
  • rib fusion abnormalities and
  • duodenal atresia.

The gas is thought to have passed into the distal bowel by bypassing the duodenal atresia via the accessory pancreatic duct and into the ampulla.

Case Discussion

Chest and abdominal x-ray of a patient with VACTERL.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.