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Hwangbo, Heo, Choo, Bae, Kim, and Seong: Colon atresia, a rare comorbid condition in VACTERL association
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(9): 655-658.

Published online: 17 September 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.9.655

Colon atresia, a rare comorbid condition in VACTERL association

Ji Hye Hwangbo, MD, Eun Young Heo, MD, Youn Sil Choo, MD, Jin Young Bae, MD, Mi Ju Kim, MD, Won Joon Seong, MD, PhD

Department of Obstetrics and Gynecology, Kyungbook National University School of Medicine, Deagu, Korea.

Corresponding author: Won Joon Seong, MD, PhD. Department of Obstetrics and Gynecology, Kyungbook National University School of Medicine, 130 Dongdeok-ro, Jung-gu,Deagu 700-721, Korea. Tel: +82-53-420-5724, Fax: +82-53-423-7905, wjseong@knu.ac.kr

Received 3 May 2012       Revised 29 June 2012       Accepted 24 July 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Vertebral, anal, cardiac, tracheoesophageal, renal and limb (VACTERL) association is defined by the presence of at least three of the following six congenital malformations: vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies and limb abnormalities. The abdominal cystic mass, suspicious of colon atresia was identified on prenatal ultrasonography. The new born infant exhibited single umbilical artery, hemivertebra, hypoplastic nasal bone, ventricular septal defect, patent ductus arteriosus, colon atresia. For treatment of colon atresia, two staged surgery was provided by a pediatric surgeon. We experienced colon atresia, a very rare comorbid condition in VACTERL association. Prompt diagnosis and surgical correction was possible with the cooperation of pediatric surgeons, obstetricians and pediatricians.

Keywords: VACTERL association, Colon atresia, Congenital malformations

Figures and Tables

Fig. 1
At 28/6 weeks of gestation, the hemivertebra was identified between thoracic vertebra No.10 and No.11 on prenatal ultrosonogram (arrow).
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Fig. 2
At 38/1 weeks of gestation, the abdominal cystic mass 3×7 cm, suspicous of colon atresia was identified on ultrasonogram.
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Fig. 3
At 38/1 weeks of gestation, a left ectopic kidney was identified.
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Fig. 4
On the date of birth the baby showed a hypoplastic nasal bone (arrow).
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Fig. 5
On the first day of birth, the lopogram showed narrowing colon near the hepatic flexure, representing colon atresia (arrow).
kjog-55-655-g005

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