VACTERL

Case contributed by Dr Maxime St-Amant

Presentation

Bone abnormalities?

Patient Data

Age: Newborn
Gender: Female
X-ray

X-ray shows D10 (T10) & S2 hemivertebrae and partial agenesis of left-sided D9 (T9).

A nasogastric tube is shown unable to go further than what is seen and there normal intestinal aeration.

The findings are compatible with VACTERL syndrome and esophageal atresia associated with tracheoesophageal fistula.

Case Discussion

VACTERL is an acronym for

  • vertebral anomalies
  • anal atresia
  • cardiovascular anomalies
  • trachoesophageal fistula
  • renal and/or radial anomalies
  • limb defects

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