title: A female infant who had both complete VACTERL association and MURCS association: report of a case.
abstract: 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.
authors: Department of Pediatric Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyou-ku, Tokyo 113-8655, Japan.
authors: Makoto
authors: M
authors: Komura
authors: Yutaka
authors: Y
authors: Kanamori
authors: Masahiko
authors: M
authors: Sugiyama
authors: Tetsuya
authors: T
authors: Tomonaga
authors: Kan
authors: K
authors: Suzuki
authors: Kouhei
authors: K
authors: Hashizume
authors: Keigo
authors: K
authors: Goishi
mesh_terms: D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000601:surgery; D001006:Anus, Imperforate / Q000175:diagnosis* / Q000601:surgery; D001848:Bone Diseases, Developmental / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D012131:Respiratory Insufficiency; D014621:Vagina / Q000002:abnormalities*