The Currarino Syndrome Presenting as Neonatal Intestinal Obstruction in a Nigerian Male Child
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Abstract
We describe the first documented radiologic findings of complete Currarino triad presenting as neonatal intestinal obstruction in a
Nigerian male child. A 1-week-old male neonate was admitted for rectal agenesis and had a divided colostomy during which an anterior sacral meningocele was discovered intraoperatively. The imaging evaluation revealed further, the triad of a partial sacral defect, anorectal atresia, and anterior sacral meningocele. These radiologic findings define the rare association known as the Currarino
syndrome (CS). The CS expresses a wide phenotypic expression, and so its diagnosis may be elusive. This case emphasizes the need for physicians to be cognizant of the clinical presentation and radiologic findings of CS. It is a triad to remember in infants with anorectal malformations and even older children or adults presenting with chronic constipation.
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References
1. Currarino G, Coln D, Votteler T. Triad of anorectal, sacral, and presacral anomalies. AJR Am J Roentgenol 1981;137:395‑8.
2. Hagan DM, Ross AJ, Strachan T, Lynch SA, Ruiz‑Perez V, Wang YM, et al. Mutation analysis and embryonic expression of the HLXB9 Currarino syndrome gene. Am J Hum Genet 2000;66:1504‑15.
3. Belloni E, Martucciello G, Verderio D, Ponti E, Seri M, Jasonni V, et al. Involvement of the HLXB9 homeobox gene in Currarino syndrome. Am J Hum Genet 2000;66:312‑9.
4. Lynch SA, Bond PM, Copp AJ, Kirwan WO, Nour S, Balling R, et al. A gene for autosomal dominant sacral agenesis maps to the
holoprosencephaly region at 7q36. Nat Genet 1995;11:93‑5.
5. Köchling J, Pistor G, Märzhäuser Brands S, Nasir R, Lanksch WR. The Currarino syndrome – Hereditary transmitted syndrome of anorectal, sacral and presacral anomalies. Case report and review of the literature. Eur J Pediatr Surg 1996;6:114‑9.
6. Shoji M, Nojima N, Yoshikawa A, Fukushima W, Kadoya N, Hirosawa H, et al. Currarino syndrome in an adult presenting with a presacral abscess: A case report. J Med Case Rep 2014;8:77.
7. Urioste M, Garcia‑Andrade Mdel C, Valle L, Robledo M, González‑Palacios F, Méndez R, et al. Malignant degeneration of presacral teratoma in the Currarino anomaly. Am J Med Genet A 2004;128A: 299‑304.
8. Isik N, Elmaci I, Gokben B, Balak N, Tosyali N. Currarino triad: Surgical management and follow‑up results of four [correction of three] cases. Pediatr Neurosurg 2010;46:110‑9.
9. Levitt MA, Pena A. Anorectal malformations. Orphanet J Rare Dis 2012;7:98.
10. Ameh EA, Chirdan LB. Neonatal intestinal obstruction in Zaria, Nigeria. East Afr Med J 2000;77:510‑3.
11. Lynch SA, Wang Y, Strachan T, Burn J, Lindsay S. Autosomal dominant sacral agenesis: Currarino syndrome. J Med Genet 2000;37:561‑6.
12. Patel RV, De Coppi P, Kiely E, Pierro A. Currarino’s syndrome in twins presenting as neonatal intestinal obstruction – Identical presentation in non‑identical twins. BMJ Case Rep 2014;2014. pii: bcr2014204276.
13. Lee SC, Chun YS, Jung SE, Park KW, Kim WK. Currarino triad: Anorectal malformation, sacral bony abnormality, and presacral mass – A review of 11 cases. J Pediatr Surg 1997;32:58‑61.
14. Saberi H, Habibi Z, Adhami A. Currarino’s syndrome misinterpreted as Hirschsprung’s disease for 17 years: A case report. Cases J 2009;2:118.
15. Ohno K, Nakamura T, Azuma T, Nakaoka T, Takama Y, Hayashi H, et al. Familial Currarino syndrome associated with Hirschsprung disease: Two cases of a mother and daughter. J Pediatr Surg 2013;48:233‑8.
16. Patel RV, Shepherd G, Kumar H, Patwardhan N. Neonatal Currarino’s syndrome presenting as intestinal obstruction. BMJ Case Rep 2013; 2013. pii: bcr2013200310.