Association of vertebral, anal, cardiac, tracheoesophageal, renal and limb anomalies with auricle atresia; a case report

Document Type : Case Report


Non-communicable Pediatric disease research center, AmirKola Children Hospital, Babol University of Medical Sciences, Babol, Iran


Association of vertebral, anal, cardiac, tracheoesophageal, renal and  limb anomalies (VACTERL) is rare anomaly with an incidence of 1.6 per 10000 births. This condition is a combination of anomalies recognized  as a hereditary entity with poor prognosis. Herein, we report VACTERL association presenting with auricle atresia. A male neonate with a birth weight of 2690 grams, head circumference 34 cm, full term, delivered via Cesarean section (C/S) to a 23 year-old mother G2P2L2A0 is presented. The patient was born with APGAR score 7/10 in 1 and 5 minutes. He had multiple congenital  anomalies  including  sacral  agenesis,  anal  atresia,  and  heart  murmur  compatible with the diagnosis of patent ductus arteriosus, TEF, multicystic kidney disease, atresia of both auricles and external ear canal. He had characteristics of the VACTERL association, In addition to this combination of malformation, we  found him to have ear anomalies.