Left Nostril Agenesis in a Fetus with VACTERL Association: A Case Report  

作　　者：Martha Martínez-Gómez Elena Satorres-Pérez Alicia Martínez-Varea Martha Martínez-Gómez;Elena Satorres-Pérez;Alicia Martínez-Varea(Department of Obstetrics and Gynaecology, La Fe University and Polytechnic Hospital, Valencia, Spain)

机构地区：[1]Department of Obstetrics and Gynaecology, La Fe University and Polytechnic Hospital, Valencia, Spain

出　　处：《Open Journal of Obstetrics and Gynecology》2023年第4期693-698,共6页妇产科期刊（英文）

摘　　要：VACTERL association represents a rare condition with a broad spectrum of coexisting congenital abnormalities. Although a multifactorial origin has been described, the etiology is still unclear. Prenatal diagnosis can be challenging, as specific characteristics may be difficult to be determined before birth. This case report describes the finding of multiple congenital abnormalities in a male fetus at 30 weeks of gestation. The most notable findings were the presence of duodenal stenosis, esophageal atresia with distal tracheoesophageal fistula (type 3), interatrial septal communication foramen ovale, and left nostril and choana agenesis. After birth and making a broad differential diagnosis, all these characteristics oriented the diagnosis towards the VACTERL association. To the best of our knowledge, no cases of VACTERL association and unilateral nostril and choana agenesis have been previously described.VACTERL association represents a rare condition with a broad spectrum of coexisting congenital abnormalities. Although a multifactorial origin has been described, the etiology is still unclear. Prenatal diagnosis can be challenging, as specific characteristics may be difficult to be determined before birth. This case report describes the finding of multiple congenital abnormalities in a male fetus at 30 weeks of gestation. The most notable findings were the presence of duodenal stenosis, esophageal atresia with distal tracheoesophageal fistula (type 3), interatrial septal communication foramen ovale, and left nostril and choana agenesis. After birth and making a broad differential diagnosis, all these characteristics oriented the diagnosis towards the VACTERL association. To the best of our knowledge, no cases of VACTERL association and unilateral nostril and choana agenesis have been previously described.

关 键 词：VACTERL Association Nostril Agenesis Fetal Ultrasound Fetal MRI 

分 类 号：R57[医药卫生—消化系统]