Left Nostril Agenesis in a Fetus with VACTERL Association: A Case Report

VACTERL association represents a rare condition with broad spectrum of coexisting congenital abnormalities. Although multifactorial origin has been described, the etiology is still unclear. Prenatal diagnosis can be challenging, as specific characteristics may difficult to determined before birth. This case report describes finding multiple abnormalities in male fetus at 30 weeks gestation. The most notable findings were presence duodenal stenosis, esophageal atresia distal tracheoesophageal fistula (type 3), interatrial septal communication foramen ovale, and left nostril choana agenesis. After birth making differential diagnosis, all these oriented towards association. To best our knowledge, no cases unilateral agenesis have previously described.