title: VACTERL Association Complicated with Right-sided Congenital Diaphragmatic Hernia.
abstract: We describe a neonate with VACTERL association and right-sided congenital diaphragmatic hernia (CDH). Such coexistence is rare. The lack of symptoms during the early neonatal period, the absence of bowel loops herniated into the right thoracic cavity, and an unfinished surgery led to clinical and radiological diagnostic difficulties. Respiratory distress occurred when the patient was 2 months old. Chest radiology plain film revealed typical findings of right-sided CDH. The diagnosis was confirmed after surgical exploration.
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
authors.forename: Ray Hung
authors.initials: RH
authors.lastname: Chen
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
authors.forename: Han-Yang
authors.initials: HY
authors.lastname: Hung
authors.affiliation: Department of Pediatric Surgery, Mackay Memorial Hospital, Taipei, Taiwan.
authors.forename: Nien-Lu
authors.initials: NL
authors.lastname: Wang
authors.affiliation: Department of Radiology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Radiology, Taipei Medical University, Taipei, Taiwan.
authors.forename: Shin-Lin
authors.initials: SL
authors.lastname: Shih
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
authors.forename: Haw-Kwei
authors.initials: HK
authors.lastname: Hwang
authors.affiliation: Taiji Clinic, Taipei, Taiwan.
authors.forename: Tung-Yao
authors.initials: TY
authors.lastname: Chang
authors.affiliation: North County Laser Eye Associates, Carlsbad, San Diego, CA, USA.
authors.forename: Paul H
authors.initials: PH
authors.lastname: Chen
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan; Mackay Medicine, Nursing and Management College, Taipei, Taiwan. Electronic address: jhchang90@yahoo.com.tw.
authors.forename: Jui-Hsing
authors.initials: JH
authors.lastname: Chang
mesh_terms: D001003:Anal Canal / Q000002:abnormalities* / Q000000981:diagnostic imaging; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology; D004947:Esophagus / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006330:Heart Defects, Congenital / Q000150:complications* / Q000000981:diagnostic imaging*; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D017880:Limb Deformities, Congenital / Q000150:complications* / Q000000981:diagnostic imaging*; D008297:Male; D013902:Radiography, Thoracic; D013131:Spine / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014132:Trachea / Q000002:abnormalities* / Q000000981:diagnostic imaging
keywords: VACTERL/VATER association; congenital diaphragmatic hernia