Article Figures & Data
Figures
Figure Currarino triad
(A) CT scan: following retrograde injection, contrast is tracking up the spinal canal. (B) MRI scan: the ventral sacral meningocele and anterior sacral defect are clearly shown. 1 = sacrum; 2 = thecal sac; 3 = sacral defect; 4 = meningocele.
- Tom Theys, MD,
- Kuan H. Kho, MD and
- Bart Nuttin, MD, PhD
- Address correspondence and reprint requests to Dr. Tom Theys, Department of Neurosurgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium; tom.theys{at}uz.kuleuven.be
A 26-year-old woman presented to her gynecologist with persistent clear vaginal fluid loss for 2 months, accompanied by symptoms of headache and vertigo. Subsequently, she developed tenesmus. Surgical exploration revealed a duplicated anus and a presacral mass draining clear fluid containing white particles. In the following hours the patient developed a fulminant meningitis. Imaging (figure) revealed a neuroenteric fistula communicating with the thecal sac through a ventral sacral meningocele. This combination of anorectal malformation, sacral defect, and meningocele is known as the Currarino triad.1,2 Early recognition of this entity is of paramount importance in preventing a potentially devastating meningitis.
Figure Currarino triad
(A) CT scan: following retrograde injection, contrast is tracking up the spinal canal. (B) MRI scan: the ventral sacral meningocele and anterior sacral defect are clearly shown. 1 = sacrum; 2 = thecal sac; 3 = sacral defect; 4 = meningocele.
Footnotes
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Disclosure: The authors report no disclosures.
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