Coexisting Occult Congenital Anomalies: Case Presentation & Literature Review of a Vascular Ring in Beckwith-Wiedemann Syndrome

Beckwith-Wiedemann Syndrome (BWS) is a pediatric overgrowth disorder commonly associated with macroglossia. Speech/feeding difficulties and airway compromise often warrant surgical intervention through reduction glossectomy. Given the complexity of pediatric patients with congenital anomalies, concurrent diagnoses of coexisting conditions may be delayed. We present a pediatric patient with BWS who presented with chronic respiratory distress and stridor in the setting of obstructive sleep apnea (OSA) and macroglossia. We seek to highlight the concurrent presence and treatment approach of a congenital vascular ring and macroglossia as there are no reported cases of these coexisting anomalies in the literature.