“…Numerous associations have been made between supernumerary kidneys and other anomalies that fall into the VACTERL pattern of birth defects, an acronym which identifies a non-random co-occurrence of vertebral defects (V), anal atresia (A), cardiac defects (C), tracheoesophageal fistula (TE), renal anomalies (R), and limb abnormalities (L). These include ectopic ureteral opening, urethral or penile duplication, ureteral atresia, imperforate anus, ventricular septal defects, coarctation of the aorta, and meningomyelocele [8,[12][13][14][15]. In this case, the patient had associated findings of anal atresia and spina bifida occulta.…”