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Notably, anorectal malformations could be associated with other congenital anomalies or as a part of combined anomalies e.g ., VACTERL anomalies (Vertebral anomalies, Anorectal malformations or Anal atresia, Cardiac anomalies, TracheoEsophageal fistula or esophageal atresia, Renal and urinary anomalies, Limb lesions)[34] or a rare complete tubular colonic duplication[35]