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J Pediatr Surg. 2011 Jul;46(7):1432-4. doi: 10.1016/j.jpedsurg.2011.01.024.

Right-sided congenital diaphragmatic hernia, hepatic pulmonary fusion, duodenal atresia, and imperforate anus in an infant.

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  • 1Department of Surgery, Children's Hospital Los Angeles, and Keck School of Medicine, University of Southern California, Los Angeles, CA 90027, USA. scastle@chla.usc.edu


We present a case of a neonate with VACTERL-like association, with the VACTERL association defined as the non-random association of vertebral, anal, cardiac, esophageal, renal/kidney, and limb defects, as manifested by a hemivertebra, imperforate anus, and digit anomalies, in rare association with duodenal atresia and right-sided diaphragmatic hernia. This constellation is previously undescribed and may offer insight into the pathogenesis of VACTERL and associated birth defects.

Copyright © 2011 Elsevier Inc. All rights reserved.

[PubMed - indexed for MEDLINE]
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