Abstract
A 3-day-old male neonate presented with features of anorectal malformation and duplication of the external genitalia. He was subsequently diagnosed with complete duplication of the colon, rectum, bladder, and urethra associated with spinal lipoma. We report this case of caudal duplication syndrome, considering its rarity and the diverse combination of gastrointestinal, genitourinary, spinal, and limb anomalies.