Congenital abnormalities of the kidney and urinary tract (CAKUT) are a key cause of morbidity and a substantial contributor to end-stage renal disease (ESRD). These anomalies are the most prevalent form of birth malformation.Other system abnormalities such as those of the heart, gastrointestinal tract, central nervous system, skeletal system, respiratory system, facial dysmorphism, reproductive system, abdominal wall coexist with these anomalies. Congenital heart defects (CHD) are the most frequent complication in this syndrome, according to previous data. These findings show a similar genetic aetiology for congenital heart disease (CHD) and renal abnormalities, implying that CHD patients are at a significantly increased risk of renal anomaly outcomes. To avoid renal damage and chronic kidney disease, it is crucial to be aware of this linkage in the early treatment and diagnosis of CAKUT. We present a case of a 23 year old male who presented to us with symptoms of ESRD and was diagnosed to be case of CAKUT syndrome with VSD as the extra renal association.
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