sir, this is regarding my 2 1/2 year old male baby. he was born with ano-rectal mal formation (high type) with suspected rectovesical / rectourethral fistula and bifid scrotum. the child underwent loop colostomy on 3rd day of life (most proximal of sigmoid colon). further investigations revealed by (i) MCU : BILATERAL VESICO-URETHRAL REFLUX (GRADE I ON LT SIDE; GRADE II-III ON RT SIDE (ii) DISTAL COLOGRAM : COLO-VESICAL FISTULA LEFT LATERAL WALL FURTHER, THE CHILD UNDERWENT AN OPERATION FOR FISTULA DISCONTINNUATION AND ABDOMINO PERINEAL PULL THROUGH AT THE AGE OF 7 MONTHS. FURHTER INVESTIGATIONS : (iii) USG : SMALL RT KIDNEY (iv) RENOGRAM REPORT : RT KIDNEY - MARKEDLY CONTRACTED /SMALL IN SIZE WITH NON FUNCTIONAL STATUS NOW THE CHILD HAS BEEN DIAGNOISED WITH VACTERL SYNDROME AND WAS ADVISED FOR MRI OF THE SPINE. (v) MRI OF DORSO-LUMBAR SPINE : APLASIA OF THE PEDICLES OF L4 VERTEBRAL BODY WITH FUSION OF THE POSTERIOR ELEMENTS OF L3 AND L4 VERTEBRAE; LOW LYING CORD TERMINATING AT THE UPPER BORDER OF L3 VERTEBRAL BODY. CHILD S GROWTH IS NORMAL. WALKING, HT 86CMS, WT 13.6 KGS, STARTED TALKING. EXTERNAL APPEARENCE NORMAL. URINE AND STOOL PASSAGE NORMAL REQUEST FURTHER NECESSARY INTERVENTION.