Rectal duplications are quite rare presentations. We present an unusual case of a congenital rectal duplication cyst in a neonate. The baby was noticed to have a bluish cystic discolouration of the gluteal area, which ruptured with meconium discharge. No other congenital anomaly was noted. Investigations revealed the presence of a rectal duplication cyst, which required surgery. The baby recovered fully with no complications.
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