a rare case of partial anomalous pulmonary venous return (scimitar syndrome) with vaginal agenesis and a history of infantile imperforated anus

Scimitar syndrome is a rare congenital cardiac anomaly characterized by abnormal drainage of the right pulmonary veins into the inferior vena cava (ivc). here, we report the case of a 26-year-old female diagnosed with scimitar syndrome (ss), with a history of imperforate anus and vaginal agenesis, consistent with a vacterl association. the imperforate anus was identified and treated in infancy, whereas the vaginal agenesis was diagnosed at menarche. additionally, the patient presented with a large atrial septal defect (asd) and a hypoplastic right lung alongside ss. this case underscores the potential correlation between ss, vaginal agenesis, and imperforate anus as features within the vacterl spectrum.