[Currarino triad: a case report].
The authors report a case of Currarino triad with a combination of anterior sacral meningocele and mature teratoma, sacral body deformity, anorectal stenosis, and tethered cord. A newborn girl suffered from vomiting, abdominal distension and constipation. Initially, a diverting colostomy was performed at the age of one month. 7 months later, at the age of 8 months, we performed posterior sagittal anorectoplasty (PSARP): As a result, extirpation of teratoma, excision of meningocele, untethering of the spinal cord, and anorectoplasty were achieved simultaneously without complication. We suggest the use of an MRI to specify the presence of anosacral and spinal cord anomalies in patients with intractable constipation and we recommend combined pediatric and neurosurgical assessment and management for all cases of Currarino triad.
Department of Neurosurgery, Ehime Prefectural Central Hospital, Japan. c-hmatsumoto@eph.pref.ehime.jp
Hiroaki
H
Matsumoto
Kanehisa
K
Kohno
Daizou
D
Ishii
Takafumi
T
Mitsuhara
Yoshiaki
Y
Yamaguchi
Keiji
K
Kohno
Akihiko
A
Takechi
Tetsuji
T
Takeda
Ushio
U
Sasaki
Masahiro
M
Ohta
D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000601:surgery; D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery; D003248:Constipation / Q000209:etiology; D013505:Digestive System Surgical Procedures; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008588:Meningocele / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D019635:Neurosurgical Procedures; D012445:Sacrococcygeal Region; D012447:Sacrum / Q000002:abnormalities* / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013116:Spinal Cord / Q000002:abnormalities* / Q000601:surgery; D013577:Syndrome; D013724:Teratoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome