Aberrant Abdominal Umbilical Arteries in
VACTERL – Association: A First Case Report
Vichan Peonim MD*,
Kanchana Sujirachato PhD*, Jitta Udnoon MD*,
Ubon Chudoung BSc*, Sompong Wongwichai BSc*
Affiliation :
* Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
A 38-week-gestational age male neonatal death from a 27-year-old-mother was reported. The autopsy found
multiple congenital anomalies such as scoliosis of thoracic spine with 13 pairs of ribs, anal atresia, bilateral renal agenesis,
and club feet. These anomalies were diagnosed VACTERL – association that must include at least three out of six principal
anomalies of previously mentioned, e.g., (1) V – vertebral defects, (2) A - anal atresia, (3) C – cardiac anomalies, (4) TE
– tracheo-esophageal fistula, (5) R – renal anomalies, and (6) L – limb abnormalities. In addition, other anomalies were
also observed in this case, i.e., cryptorchidism both sides, jejunal diverticulum, and aberrant abdominal umbilical arteries.
Keywords : VACTERL – association, VATER – association, Congenital anomalies, Vertebral defects, Anal atresia, Cardiac
anomalies, Tracheo-esophageal fistula, Renal anomalies, Limb abnormalities, Cryptorchidism, Jejunal diverticulum,
Aberrant abdominal umbilical arteries
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