Abstract
Key pointsWhat's already known about this topic? Only four cases of VACTERL association diagnosed in the first trimester have been reported What does this study add? We show that VACTERL association can present with a broad range of findings, including anal atresia, foot dysplasia, hemivertebrae, a single umbilical artery, and closed spina bifida VACTERL association can be suspected at the time of a first trimester ultrasound
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