[The Currarino triad--a study of 4 cases].
Report on 4 cases of a rare syndrome known as Currarino triad. The features of this triad consist of constipation, anorectal malformations, presacral masses and a curved defect of the os sacrum (scimitar defect). Currarino was the first to detect autosomal-dominant hereditary transmission in about 50 per cent of the patients. Each congenital or chronic constipation should prompt an early radiological examination including x-ray films of the os sacrum and the anorectum to exclude or to find a Currarino triad. The finding of a "scimitar sacrum" makes it essential to perform a contrast enema of the anorectum and a CT of the pelvic structures in the patient and his family. The possibilities of management depending on the nature of the presacral masses and their communication to the rectum and/or to the spinal channel are described. It is emphasised that a subtitle division of the rectal and spinal tissues has to be the first aim of operation to prevent a dangerous and life-threatening infection of the meningeal sac.
Janneck
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C
Chirurgische Abteilung, Kinderkrankenhauses Walddörfer und Kinderkrankenhaus Wilhelmstift, Hamburg.
Holthusen
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W
D000293:Adolescent; D000328:Adult; D001006:Anus, Imperforate / Q000235:genetics* / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008588:Meningocele / Q000235:genetics* / Q000601:surgery; D012445:Sacrococcygeal Region; D012447:Sacrum / Q000002:abnormalities*; D012983:Soft Tissue Neoplasms / Q000235:genetics* / Q000601:surgery; D013577:Syndrome
Die Currarino-Trias--Beobachtung von 4 Fällen.