A rare association of anorectal malformation with bladder agenesis, bilateral ectopic ureter, and left pelviureteric junction obstruction

Urologic abnormalities (UA) have been reported in the literature but not bladder agenesis.1 The occurrence of genitourinary anomalies has been reported in association with numerous pathologic alterations classified as vertebral/skeletal, genital, gastrointestinal, and miscellaneous. The combination of symptoms is nonrandom. These malformations are presumed to result from a disturbed migration of abnormal hindgut development and to originate somewhere between the 4th and 10th weeks of gestation during early embryogenesis.2 Although a combination of symptoms associated with genitourinary anomalies and anorectal malformation (ARM) has been reported,3e5 there is no report of the bladder agenesis (BA) associatedwith bilateral ectopic ureters (EUs) and left PUJ obstruction in a newborn with ARM (imperforate anus).