Capdevila-Leonori R, Toledo-Medina A

Language: Spanish
References: 10
Page: 32-37
PDF size: 154.31 Kb.

ABSTRACT

Objective: There are few reports of VACTERL associations cases, and given the variability of its clinical presentation, those reports vary in the frequency of the reported anomalies. We report 4 cases and revised their manifestations en the muscle-skeletal system as well as the orthopaedic treatment provided. Methods: We present a case series associating vertebral, limb, renal and anal deformities. All patients were evaluated by a cardiologist and a geneticist; we describe the muscle-skeletal affection and the treatment provided. Results: We included 4 patients, 3 male, 1 female. All patients had imperforated anus, detected and treated in another facility; 2 had congenital scoliosis with thoracic hemivertebrae; 2 had renal impairment, one presented polycystic kidneys and one left renal agenesis. Three patients had limb involvement, two with bilateral clubfoot, two with radial clubhand, one with bilateral involvement. No esophageal or heart abnormality was documented. Discussion: As previously reported, the most frequent association was that of the imperforated anus and limb malformations. In our series we found no genital involvement. There was a negative history of urinary tract infections during the first trimester of the pregnancy. Limb deformities were clubfoot and clubhand. Conclusions: We are convinced that every patient with congenital malformations should be evaluated in a multidisciplinary in order to make a correct diagnosis and provide a proper treatment.

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