title: Bilateral congenital lacrimal anlage ducts (lacrimal fistula) in a Patient With the VACTERL association.
abstract: OBJECTIVE
  To present a case of bilateral congenital lacrimal anlage ducts in a patient with the VACTERL (vertebral anomalies, anal atresia, cardiac malformations, tracheoesophageal fistula, renal anomalies, and limb anomalies) association.
  
  
  METHODS
  Case report.
  
  
  RESULTS
  A 19-year-old man presented with intermittent facial swelling. Examination revealed bilateral lacrimal anlage ducts. The patient underwent excision of the ducts with silicone intubation.
  
  
  CONCLUSIONS
  We add the VACTERL association to the list of systemic conditions associated with lacrimal anlage ducts.
authors.affiliation: Department of Ophthalmology, University of Minnesota, Minneapolis 55409, USA. harri060@umn.edu
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Harrison
authors.forename: Roger A
authors.initials: RA
authors.lastname: Dailey
authors.forename: John L
authors.initials: JL
authors.lastname: Wobig
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D001006:Anus, Imperforate / Q000150:complications; D005402:Fistula / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007440:Intubation; D007668:Kidney / Q000002:abnormalities; D007766:Lacrimal Apparatus Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D017880:Limb Deformities, Congenital / Q000150:complications; D008297:Male; D012826:Silicone Elastomers; D013131:Spine / Q000002:abnormalities; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014138:Tracheoesophageal Fistula / Q000150:complications
chemical_list: D012826:Silicone Elastomers