Language:

Congenital anal atresia with rectovestibular fistula, scoliosis, unilateral renal agenesis, and finger defect (VACTERL association) in a patient with partial bicornuate uterus and distal vaginal atresia: A case report

Medicine (Baltimore), 2018-11, Vol.97 (45), p.e12822-e12822 [Peer Reviewed Journal]

Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018 ;ISSN: 0025-7974 ;EISSN: 1536-5964 ;DOI: 10.1097/MD.0000000000012822 ;PMID: 30407282

Full text available

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Congenital anal atresia with rectovestibular fistula, scoliosis, unilateral renal agenesis, and finger defect (VACTERL association) in a patient with partial bicornuate uterus and distal vaginal atresia: A case report
Author: Kang, Jia ; Mao, Meng ; Zhang, Ye ; Ai, Fang-Fang ; Zhu, Lan
Subjects: Abnormalities, Multiple - diagnosis ; Abnormalities, Multiple - etiology ; Adolescent ; Anal Canal - abnormalities ; Anus, Imperforate - diagnosis ; Anus, Imperforate - etiology ; Clinical Case Report ; Esophagus - abnormalities ; Female ; Fingers - abnormalities ; Heart Defects, Congenital - diagnosis ; Heart Defects, Congenital - etiology ; Humans ; Kidney - abnormalities ; Limb Deformities, Congenital - diagnosis ; Limb Deformities, Congenital - etiology ; Rectal Fistula - congenital ; Scoliosis - congenital ; Solitary Kidney - congenital ; Spine - abnormalities ; Trachea - abnormalities ; Uterus - abnormalities ; Vagina - abnormalities
Is Part Of: Medicine (Baltimore), 2018-11, Vol.97 (45), p.e12822-e12822
Description: Vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect (VACTERL) association and Müllerian duct anomalies are rare conditions. We present a rare condition with the co-occurrence of the VACTERL association and Müllerian duct hypoplasia to characterize patients' clinical presentations, outcomes, and treatment. An 11-year-old girl presented to our hospital with severe lower abdominal pain, lower vaginal atresia with enlargement of the upper vagina and a bicornuate uterus with a Y-shaped uterine cavity filled with hematometra on pelvic magnetic resonance imaging. Her medical history included congenital anal atresia with a rectovestibular fistula, congenital right renal deficiency, congenital right thumb malformation, and scoliosis. 1. Congenital genital tract malformations, a partial bicornuate uterus, and distal vaginal atresia (U3aC0V4); 2. VACTERL association (congenital anal atresia with rectovestibular fistula, scoliosis with hemi vertebra and butterfly vertebra, unilateral renal agenesis, and finger defect). Colpotomy, laparoscopic exploration, pelvic adhesiolysis, and hysteroscopy were performed. Two months after surgery, a pelvic examination showed an unobstructed vagina which was 10 cm long and 2 fingers wide, without adhesion or constriction. Clinicians should have a high index of suspicion when evaluating patients with genital malformations associated with VACTERL. Early diagnosis of distal vaginal atresia with appropriate surgical intervention decreases long-term morbidity.
Publisher: United States: Wolters Kluwer Health
Language: English
Identifier: ISSN: 0025-7974
EISSN: 1536-5964
DOI: 10.1097/MD.0000000000012822
PMID: 30407282
Source: Journals@Ovid Open Access Journal Collection Rolling
IngentaConnect Backfiles
MEDLINE
PubMed Central
Wolters Kluwer Open Access
DOAJ Directory of Open Access Journals

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Congenital anal atresia with rectovestibular fistula, scoliosis, unilateral renal agenesis, and finger defect (VACTERL association) in a patient with partial bicornuate uterus and distal vaginal atresia: A case report

Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018 ;ISSN: 0025-7974 ;EISSN: 1536-5964 ;DOI: 10.1097/MD.0000000000012822 ;PMID: 30407282

Searching Remote Databases, Please Wait