The Currarino triad: What pediatric surgeons need to know

AbouZeid, Amr Abdelhamid; Mohammad, Shaimaa Abdelsattar; Abolfotoh, Mohammad; Radwan, A. M.; Ismail, Mohamed Mohamed ElSayed; Hassan, Tarek Ahmed

doi:10.1016/j.jpedsurg.2016.12.010

Cited by 36 publications

(19 citation statements)

References 27 publications

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“…Surgical resection of a presacral mass carries risks of severe complications related to adhesion of the anterior meningocele such as bacterial meningitis and cerebrospinal fluid leakage. [13] In our case, although the anterior meningocele was accidentally ruptured during surgery, no severe postoperative complication occurred.…”

Section: Discussionmentioning

confidence: 62%

Adenocarcinoma and neuroendocrine tumor arising within presacral teratoma associated with Currarino syndrome: A case report

Chatani

Onaya

Kato

et al. 2019

Indian Journal of Radiology and Imaging

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We present a case of a 59-year-old woman with a malignant tumor arising within presacral teratoma associated with Currarino syndrome (CS). A characteristic crescent-shaped sacrum was detected on preoperative image examination and the presacral mass was pathologically diagnosed as a malignant tumor associated with CS. To our knowledge, this is the first case report of presacral teratoma associated with CS coexisting with both adenocarcinoma and a neuroendocrine tumor.

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Section: Discussionmentioning

confidence: 62%

Adenocarcinoma and neuroendocrine tumor arising within presacral teratoma associated with Currarino syndrome: A case report

Chatani

Onaya

Kato

et al. 2019

Indian Journal of Radiology and Imaging

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“…Identification of the characteristic notched sacrum (sacral scimitar) in plain X-ray (anteroposterior view) is considered the key for the diagnosis; however, not infrequently, this radiological sign is overlooked, especially with a small sacral defect and a constipated child. 5 Increased awareness about this condition among neonatologists and pediatric surgeons can help in early picking of affected cases and better planning of surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…A decision had to be made whether to postpone the operation and wait for a preoperative pelvic magnetic resonance imaging (MRI) study (for better delineation of the anatomy) or to proceed with the PSARP procedure and explore the presacral space during operation. Influenced by the busy operative schedule and the author's previous surgical experience with similar cases, 5 we decided to operate.…”

Section: Case Presentationmentioning

confidence: 99%

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Currarino Triad: Importance of Preoperative Magnetic Resonance Imaging

AbouZeid

Mohammad

Seada

et al. 2019

European J Pediatr Surg Rep

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Currarino triad is a rare syndrome that may be occasionally encountered during managing cases of anorectal anomalies. The triad consists of anorectal anomaly, sacral bony defect, and a presacral mass. It may be familial or sporadic, with a reported female predominance. Identification of the characteristic notched sacrum (sacral scimitar) in plain X-ray (anteroposterior view) is considered the key for the diagnosis; however, not infrequently, this radiological sign is overlooked, especially with a small sacral defect.Excision of the presacral cyst is usually performed concomitantly during anorectoplasty. The prone position is the standard approach for posterior sagittal anorectoplasty (PSARP) in males; however, in females, the supine position can be used as an alternative (anterior sagittal anorectoplasty). In this case report, excision of the presacral cyst took place in two steps: the first excision during the PSARP procedure in the prone position, and a second operation in the supine lithotomy position to remove a residual component of the lesion that was missed during the primary operation. It was clear that the supine lithotomy position provided better access to explore the presacral space than the prone position, especially with a deeply located cyst as in our case. The role of magnetic resonance imaging (MRI) in the identification of the exact nature and extent of the lesion before surgery is crucial and should be performed in all cases.

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“…Similarly, sacral bone abnormalities reported are agenesis of sacrum and coccyx, sickle-shaped sacrum, hemisacrum, etc. [3][4][5][6] Malformations of Currarino triad are thought to arise from a failure of dorsoventral separation of the caudal cell mass from the hindgut endoderm during late gastrulation. 7 Both sporadic cases and familial predisposition with autosomal inheritance are known to occur.…”

Section: Discussionmentioning

confidence: 99%