“…Anorectal malformations (ARMs) encompass a spectrum of complex congenital anomalies involving the distal bowel and genitourinary tract, ranging from recto-perineal fistula to persistent cloaca in females and recto-perineal fistula to recto-bladder neck fistula in males. They are the result of abnormal separation of the genitourinary system from the hindgut and affect approximately 1 in 5,000 live births [1][2][3][4]. ARM is often observed in association with chromosomal anomalies such as trisomy 13, 18, and 21, syndromes like VAC-TERL association (vertebral anomalies, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities), Currarino triad, and in 50-86% of cases associated with multisystem abnormalities involving the renal, uterine, spinal, cardiac, and esophageal systems [1].…”