[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.
Matsumoto
Hiroaki
H
Department of Neurosurgery, Ehime Prefectural Central Hospital, Japan. c-hmatsumoto@eph.pref.ehime.jp
Kohno
Kanehisa
K
Ishii
Daizou
D
Mitsuhara
Takafumi
T
Yamaguchi
Yoshiaki
Y
Kohno
Keiji
K
Takechi
Akihiko
A
Takeda
Tetsuji
T
Sasaki
Ushio
U
Ohta
Masahiro
M
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