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Revista Med
versão impressa ISSN 0121-5256versão On-line ISSN 1909-7700
Resumo
TORRES VALENCIA, Natalia Andrea et al. VACTERL Association with Unusual Presentation: Case Report. Rev. Med [online]. 2020, vol.28, n.1, pp.59-67. Epub 14-Dez-2020. ISSN 0121-5256. https://doi.org/10.18359/rmed.3217.
In the context of the VACTERL Association, prenatal diagnosis of concomitant esophageal atresia with duodenal atresia is rare. In this article, a case report is described with the description of the ultrasound findings found from week twelve of gestation, with the appearance of the intra-abdominal double bubble sign compatible with duodenal atresia and a single umbilical artery; and towards week 31 the finding of anechoic image and esophageal dilation of the distal-third with communication with the gastric chamber in longitudinal section, representing esophageal atresia, also associated with polyhydramnios. Physical examination and complementary studies from birth showed an imperforate anus with a rectovestibular fistula, and hemivertebrae. Based on the above clinical and radiological findings, it is considered to be a VACTERL association; however, without cardiac abnormalities, which is one of the most frequently found characteristics. A review of the state of the art is carried out with regard to the VACTERL association and the prenatal diagnosis of esophageal and duodenal atresia.
Palavras-chave : VACTERL association, prenatal diagnosis; congenital disorders.