VACTERL Association: A New Case with Biotinidase Deficiency and Annular Pancreas

Abstract

VACTERL (V – Vertebral anomalies, A – Anal atresia, C – Cardiovascular anomalies, T – Tracheoesophageal fistula, E – Esophageal atresia, R – Renal (Kidney) and/or radial anomalies, L – Limb defects) association includes vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal dysplasia, and limb anomalies. Less frequent defects seen with VACTERL association are prenatal and postnatal growth deficiency, laryngeal stenosis, ear anomaly, large fontanels, defect of lower limb, rib anomaly, tethered cord, and defects of external genitalia. We report a case of VACTERL association who had concomitant biotinidase deficiency and annular pancreas, which has not been previously reported.

• hydroureteronephrosis
• VACTERL association
• tracheoesophageal fistula
• anal atresia
• biotinidase deficiency
• esophageal atresia

ACKNOWLEDGMENT

Funding. No financial assistance for support of this study was received.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.