Devoted to diagnostic and interventional spine imaging and therapeutics

Library

Currarino’s Triad: A Review of Imaging Findings 2006

General Spine

Samir E Noujaim, M.D., Non ASSR Member
Bruno Policeni, M.D., Non ASSR Member
Ahmad F Haidary, M.D., Non ASSR Member
Daniel J Boss, M.D., Non ASSR Member

Scientific Poster

Purpose

Currarino's triad is a rare autosomal domininant complex consisting of: 1) congenital anal stenosis or low imperforate anus, 2)sickle or scimitar hemisacrum and 3)presacral mass (teratoma, lipoma, dermoid cyst, enteric cyst or anterior meningocele). This display aims to demonstrate the spectrum of findings associated with Currarino's triad utilizing: plain film, contrast enema, ultrasound, CT, and MRI.

Methods & Materials

A total of seven patients have undergone imaging at our institution with varying presentations of Currarino's triad. The patient's subsequent imaging evaluations included plain film, contrast enema, ultrasound, CT, and MRI.

Conclusion

These images demonstrate the varied presentation of Currarino's triad in multiple modalities. The use of MRI has become critical in diagnosis and treatment planning of Currarino's triad. However, the other modalities depicted still have a place in diagnosis and treatment planning as well as screening of high risk individuals such as those with affected family members. Familiarity with these findings allows for early recognition of this disorder. This is important due to high morbidity and mortality associated with Currarino's triad and that patients may initially be asymptomatic.

References

1. Currarino G, Coln D, Votteler T. Triad of anorectal, sacral, and presacral anomalies. Am J Roentgenol. 1981 Aug; 137(2):395-8.
2. Kirks DR, Merten DF, Filston HC, Oakes WJ. The Crrarino triad: complex of anorectal malformation, sacral bony abnormality, and presacral mass. Pediatr Radiol. 1984;14(4):220-5.
3. Riebel T, Maurer J, Teichgraber UK, Bassir C. The spectrum of imaging in Currarino triad. Eur Radiol. 1999;9(7):1348-53.
4. Martucciello G, Torre M, Belloni E, Lerone M, Pini Prato A, Cama A, Jasonni V. Currarino syndrome: proposal of a diagnostic and therapeutic protocol. J Pediatr Surg. 2004 Sep;39(9):1305-11.
5. Samuel M, Hosie G, Holmes K. Currarino triad - diagnostic dilemma and a combined surgical approach. J Pediatr Surg. 2000 Dec;35(12):1790-4.
6. Ilhan H, Tokar B, Atasoy MA, Kulali A. Dignostic steps and staged operative approach in Currarino's triad: a case report and review of the literature. Childs Nerv Syst. 2000 Aug;16(8):522-4.
7. 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 Jan;32(1):58-61.
8. Pfluger T, Czekalla R, Koletzko S, Munsterer O, Willemsen UF, Hahn K. MRI and radiographic findings in Currarino's triad. Pediatr Radiol 1996;26(8):524-7.
9. Gudinchet F, Maeder P, Laurent T, Meyrat B, Schnyder P. Magnetic resonance detection of myelodysplasia in children with Currarino triad. Pediatr Radiol. 1997 Dec;27(12):903-7.