The case of a newborn with duplications of rectum, presenting as a tumor of the labia majora, and duplication of bladder and urethra is reported. In addition malformations from the VACTERL-association (sacral malformation, anal atresia with vestibulum fistula, renal dysplasia, only eleven pairs of ribs with hypoplasia of the eleventh one, diplopodia on the left foot) were found. In the study of urogenital and enteric duplications in cases from the literature this coincidence with VACTERL malformations was found as well.
