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Case contributed by Dr Paul Smith

Dysmorphic patient presenting with:

  • Multiple vertebral fusion abnormalities
  • congenital heart disease (VSD)
  • trache-oesphageal fistula with esophageal atresia
  • plus 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.

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Case information

rID: 11122
Published: 18th Oct 2010
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included

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