En-masse Protrusion of Ventriculo-peritoneal Shunt Tube Through the Anus.

atresia with tracheoesophageal fistula (TEF), increased cardio-thoracic ratio, Altman’s type I SCT (Fig. 1), and left multicystic kidney. Thoracotomy with staged repair of Vogt type3b was performed. Postoperatively patient developed sclerema and died. Echocardiography to confirm the presence of cardiac anomalies, and tumor markers for teratoma were not possible due to resource constraints. In addition to SCT, we made a diagnosis of VACTERL association owing to presence of three anomalies in our patient.