A newborn is found to have a blind rectal pouch on examination. Which of the following are not associated with this condition?
A. EAThe patient is described to have an imperforate anus, the embryologic basis of which involves failure of descent of the urorectal septum, resulting in a blind rectal pouch that often has a fistulous tract. Approximately 60% of patients have an associated malformation, the most common of which is a urinary tract defect (approximately 50% of patients). Skeletal defects are also seen, with the sacrum most commonly involved. Spinal cord anomalies, especially tethered cord, are common, particularly in children with high lesions. Gastrointestinal anomalies occur, most commonly EA. Cardiac anomalies may be noted, and occasionally patients present with a constellation of defects as part of the VACTERRL syndrome (vertebral anomalies, anorectal anomalies, cardiac defects, tracheoesophageal fistula, renal anomalies, and radial limb hyperplasia).