Presentation
Patient with multiple malformations since birth, presenting recurrent urinary infections.
Patient Data
The contrast study through the colostomy shows filling of the distal colon and bladder, with colon-vesical fistula communication visible in the study. Presence of marker in the topography of the anus.
Bilateral absence of the radius bones and dislocation of the elbows are observed.
Case Discussion
The patient has had multiple malformations since birth: single umbilical artery, imperforate anus, bilateral radial agenesis, interventricular communication (ostium secundum type), spinal malformation and congenital clubfoot, findings compatible with VACTERL association. He underwent a colostomy due to an imperforate anus in the first days of life, but began to have recurrent urinary tract infections – suspected of having abnormalities of the urinary tract; a colovesical fistula was found in the contrast study.
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