Association of vertebral, anal, cardiac, tracheoesophageal, renal and limb anomalies with auricle atresia; a case report

Association of vertebral, anal, cardiac, tracheoesophageal, renal and limb anomalies (VACTERL) is rare anomaly with an incidence of 1.6 per 10000 births. This condition is a combination of anomalies recognized as a hereditary entity with poor prognosis. Herein, we report VACTERL association presenting with auricle atresia. A male neonate with a birth weight of2690 grams, head circumference 34 cm, full term, delivered via Cesarean section (C/S) to a 23 year-old mother G2P2L2A0 is presented. The patient was born with APGAR score 7/10 in 1 and 5 minutes. He had multiple congenital anomalies including sacral agenesis, anal atresia, and heart murmur compatible with the diagnosis of patent ductus arteriosus, TEF, multicystic kidney disease, atresia of both auricles and external ear canal. He had characteristics of the VACTERL association, In addition to this combination of malformation, we found him to have ear anomalies