VACTERL association in a newborn as a product of a twin pregnancy by egg donation

VACTERL association is a rare entity in newborns, with high mortality in the first year of life. We present a case of a female newborn, product of a twin pregnancy assisted by egg donation. During reanimation, absence of anal orifice and impossibility to pass the orogastric tube were evidenced, so she was admitted to the neonatal intensive care unit for study and treatment, where we found anal atresia, esophageal atresia type III, tetralogy of Fallot and duodenal atresia. There are no reports of this association in twin pregnancies by egg donation with an affected twin.