Vacterl Association with Caudal Regression Syndrome and Complex CHD

A rare case of a 1 year 7 months old boy presenting with multiple congenital anomalies including anorectal malformation, double outlet right ventricle with pulmonary atresia, bilateral hydronephrosis, and limb defects. The child fulfilled criteria for VACTERL association and also demonstrated features of caudal regression syndrome. He underwent multiple surgical interventions during infancy including staged anorectal reconstruction, PDA stenting, and colostomy closure. Despite ongoing supportive management, the child continued to experience cyanosis, recurrent urinary tract infections, and developmental delay. This report underscores the challenges of diagnosis and multidisciplinary care in children with overlapping syndromic anomalies.