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'VACTERL-H in newborn: A rare case report'
Walid Alhussin1, Fathima Sabahath1
1Department of Paediatrics, Division of Neonatology, Zulekha Hospital, Sharjah, United Arab Emirate.
VACTERL with hydrocephalus (VACTERL-H) syndrome is a rare congenital disorder. This case report details the challenges of managing a preterm infant with severe VACTERL-H, emphasizing early diagnosis and intervention.
Area of Science:
- Pediatrics
- Medical Genetics
- Congenital Disorders
Background:
- VACTERL association is a non-random grouping of congenital malformations affecting multiple organ systems.
- VACTERL-H syndrome is an extremely rare variant characterized by the addition of hydrocephalus.
- The condition typically presents with vertebral defects, anal atresia, cardiac defects, tracheoesophageal fistulas, renal anomalies, and limb abnormalities.
Purpose of the Study:
- To report a rare case of VACTERL with hydrocephalus (VACTERL-H) syndrome.
- To highlight the management challenges in a preterm infant with severe VACTERL-H.
- To emphasize the importance of early diagnosis and intervention for VACTERL-H.
Main Methods:
- Case report of a preterm infant diagnosed with VACTERL-H.
- Clinical assessment and diagnostic evaluations for congenital anomalies.
- Management focused on individual symptom presentation.
Main Results:
- A preterm male infant (32 weeks gestation) was diagnosed with VACTERL-H syndrome.
- The infant presented with severe features of VACTERL.
- Management required addressing multiple, complex congenital anomalies.
Conclusions:
- VACTERL-H syndrome is a rare and complex disorder.
- Management of VACTERL-H in preterm infants presents significant challenges.
- Early diagnosis and prompt, individualized interventions are crucial to improve outcomes and reduce mortality in VACTERL-H.
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