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vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistulaesophageal atresia, renal defect, and limb defect association with mayer-rokitansky-küster-hauser syndrome in co-occurrence two case reports and a review of the literature. Bjrsum-meyer t(1)(2), herlin m(3), qvist n(4)(5), petersen mb(3)(6). This disorder is frequently associated with other congenital anomalies such as vacterl (vertebral anomalies, anal atresia, cardiac malformations, tracheoesophageal fistula, esophageal atresia, renal anomalies and radial aplasia, and limb anomalies). vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistulaesophageal atresia, renal defect, and limb defect (vacterl) association and müllerian duct anomalies are rare conditions. We present a rare condition with the co-occurrence of the vacterl association and müllerian duct hypoplasia to characterize patients clinical presentations, outcomes, and treatment. 46xx normal 17-ohp ursms ursms anal atresia, vesico-rectal fistula. The fifth karyotype was 47,xx,mar1346xx2 in a patient with left renal agenesis, scoliosis, strabismus, a fistula of the ear, anal atresia, and cat-eye syndrome. Single nucleotide polymorphism array analysis detected four times euchromatin from the region 22q11. Ascites, anemia and (intestinal) atresia rmr tan1, j lee1, a biswas2 and c amutha1 we report a neonate who presented antenatally with fetal ascites and fetal anemia. The cause of this remained uncertain until 2 weeks later when bowel dilatation was noted on antenatal ultrasound.