Komura Makoto, Kanamori Yutaka, Sugiyama Masahiko, Tomonaga Tetsuya, Suzuki Kan, Hashizume Kouhei, Goishi Keigo
Department of Pediatric Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyou-ku, Tokyo 113-8655, Japan.
Surg Today. 2007;37(10):878-80. doi: 10.1007/s00595-007-3478-8. Epub 2007 Sep 26.
A 41-day-old female infant with VACTERL association was transferred to the pediatric intensive care unit of our hospital. She had been delivered at 36 weeks gestation by spontaneous vaginal delivery and weighed 2340 g. Esophageal atresia type A with long gap, anal atresia, cardiac anomaly (atrial septal defect and patent ductus arteriosus), thoracic vertebral dysplasia, left renal agenesis, and minor anomalies (left-side facial nerve palsy, left-side difficulty in hearing, and the absence of the right thenar) had been diagnosed by various examinations. She was transferred to our hospital to receive treatment for heart failure due to a cardiac anomaly. We recognized vaginal atresia during a radical operation for anal atresia (rectovestibular fistula) at 8 months of age. Furthermore, magnetic resonance imaging (MRI) revealed agenesis of the uterus. MURCS association includes Mullerian duct aplasia or hypoplasia, renal aplasia, and cervicothoracic somite dysplasia. This is the first case of complete VACTERL association combined with MURCS association.
