Clin Surg | Volume 1, Issue 1 | Case Report | Open Access

Concordant VACTERL Anomalies in Identical Twins

Tsoraides SS1*, Pacheco PE2* and Pearl RH3*

1Department of Colon & Rectal Surgery, University of Illinois College of Medicine at Peoria,
2Department of Clinical Surgery, Southern Illinois University School of Medicine,
3Department of Surgery and Pediatrics, Children's Hospital of Illinois, USA

*Correspondance to: Richard H. Pearl 

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Multiple malformation syndromes occur in less than 1/3000 live births. The birth anomalies associated with VACTERL or VATER are well documented in the literature. VACTERL in twin pregnancies has also been documented. An extensive search of the literature reveals this as the first reported case of three shared anomalies in identical twins. This is a case report of naturally conceived identical twin boys born at 33 and 1/7 weeks to a 26 year old primigravida mother. Boy A born at 1790 grams and Boy B at 2015 grams. Both were noted to have imperforate anus and hypospadias after birth. Both were found to have colocutaneous fistulas. Both underwent operative repair of their anorectal anomalies.


Tsoraides SS, Pacheco PE, Pearl RH. Concordant VACTERL Anomalies in Identical Twins. Clin Surg. 2016; 1: 1145.

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