ARMs are often associated with other congenital anomalies, particularly affecting the genitourinary system, spine, and cardiovascular system. Syndromes such as VACTERL association (Vertebral defects, Anal atresia, Cardiac defects, Tracheo-Esophageal fistula, Renal anomalies, and Limb abnormalities) are commonly seen in conjunction with ARMs. A thorough evaluation for associated anomalies is essential for comprehensive care.