VACTERL Association with Unusual Presentation: Case Report

Asociación VACTERL de presentación inusual: reporte de caso;
Associação VACTERL de apresentação rara: relato de caso

dc.creatorTorres Valencia, Natalia Andrea
dc.creatorPardo, Myriam
dc.creatorLlanos, Javier
dc.creatorSierra, Leonardo
dc.creatorAlarcón, Yenifer
dc.date2020-09-11
dc.date2023-03-22T19:09:38Z
dc.date2023-03-22T19:09:38Z
dc.date.accessioned2023-09-06T18:04:40Z
dc.date.available2023-09-06T18:04:40Z
dc.identifierhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/3217
dc.identifier10.18359/rmed.3217
dc.identifierhttp://hdl.handle.net/10654/43480
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8694090
dc.descriptionIn the context of the VACTERL Association, prenatal diagnosis of concomitant esophageal atresia with duodenal atresia is rare. In this article, a case report is described with the description of the ultrasound findings found from week twelve of gestation, with the appearance of the intra-abdominal double bubble sign compatible with duodenal atresia and a single umbilical artery; and towards week 31 the finding of anechoic image and esophageal dilation of the distal-third with communication with the gastric chamber in longitudinal section, representing esophageal atresia, also associated with polyhydramnios. Physical examination and complementary studies from birth showed an imperforate anus with a rectovestibular fistula, and hemivertebrae. Based on the above clinical and radiological findings, it is considered to be a VACTERL association; however, without cardiac abnormalities, which is one of the most frequently found characteristics. A review of the state of the art is carried out with regard to the VACTERL association and the prenatal diagnosis of esophageal and duodenal atresia.
dc.descriptionEn el contexto de Asociación VACTERL, el diagnóstico prenatal de atresia esofágica concomitante con atresia duodenal es poco común. En el presente artículo se realiza el reporte de un caso con la descripción de los hallazgos ecográficos encontrados a partir semana doce de gestación, con la aparición del signo de doble burbuja intraabdominal compatible con atresia duodenal y una arteria umbilical única; y hacia la semana 31 el hallazgo de imagen anecóica y dilatación esofágica del tercio distal con comunicación con la cámara gástrica en corte longitudinal, representando una atresia esofágica, asociada además a polihidramnios. Desde el momento del nacimiento por examen físico y estudios complementarios, se evidenció además ano imperforado con fístula recto vestibular, arcos costales derechos fusionados y hemivértebras. Por los anteriores hallazgos clínicos y radiológicos, se considera que se trata de una asociación VACTERL; sin embargo, sin alteraciones cardiacas, que es una de las características más frecuentemente encontradas. Se realiza una revisión del estado del arte con respecto a la asociación VACTERL y el diagnóstico prenatal de la atresia esofágica y duodenal.
dc.descriptionNo contexto da Associação VACTERL, o diagnóstico pré-natal de atrésia do esôfago concomitante com atrésia de duodeno é pouco comum. Neste artigo, é realizado relato de um caso com a descrição dos achados ecográficos encontrados a partir da 12ª semana de gestação, com o surgimento do sinal de dupla bolha intra-abdominal compatível com a atrésia duodenal e uma artéria umbilical única; na 31ª semana, o achado de imagem anecoica e dilatação esofágica do rádio distal com comunicação com a câmara gástrica em corte longitudinal, o que representa atrésia esofágica, associada, ainda, a polidrâmnio. Desde o momento do nascimento por exame físico e estudos complementares, é evidenciado ânus imperfurado com fístula retal vestibular, arcos costais direitos fusionados e hemivértebras. A partir dos achados clínicos e radiológicos, é considerado que se trata de uma associação VACTERL; contudo, sem alterações cardíacas, que é uma das características mais frequentemente encontradas. É realizada uma revisão do estado da arte a respeito da associação VACTERL e o diagnóstico pré-natal da atrésia esofágica e duodenal.
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dc.languagespa
dc.publisherUniversidad Militar Nueva Granada
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/3217/4245
dc.relationhttps://revistas.unimilitar.edu.co/index.php/rmed/article/view/3217/4484
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dc.rightsDerechos de autor 2020 Revista Med
dc.sourceRevista Med; Vol. 28 No. 1 (2020): january - june; 59-67
dc.sourceRevista Med; Vol. 28 Núm. 1 (2020): enero - junio; 59-67
dc.source1909-7700
dc.source0121-5256
dc.titleVACTERL Association with Unusual Presentation: Case Report
dc.titleAsociación VACTERL de presentación inusual: reporte de caso
dc.titleAssociação VACTERL de apresentação rara: relato de caso
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion


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