Currarino's syndrome

Currarino's triad is a congenital malformation involving the combination of anorectal stenosis, a presacral mass and an anterior sacral bony defect. A new case is reported in a male neonate, who developed intestinal obstruction on the second day of life. The examination revealed a high anorectal malformation. A colostomy was performed. Partial agenesis of the sacrum was diagnosed radiologically. Computed tomographic myelography demonstated an anterior sacral meningocele and a tethered spinal cord. Excision of the meningocele and untethering of a tethered spinal cord were performed. Secondly, posterior sagittal anorectoplasty was performed. Colostomy was closed 3 months after rectal dilatations. Early diagnosis and management is recommended to avoid the high mortality and morbidity associated with this condition

Posterior sagittal anorectoplasty: an approach for the treatment of anorectal malformations

Posterior sagittal anorectoplasty [PSARP] is a new approach for the treatment of anorectal malformations. It provides excellent exposure of the anatomy of these defects and of the important structures of the pelvis as well. This work includes 11 cases of anorectal malformations managed at the Casualty and the Pediatric Surgical Departments, Faculty of Medicine, Cairo University during the period from November 1987 to May 1989. Seven cases were of the high anomaly: 4 males and 3 females, and 4 cases with questionable clinical evidence. Sigmoid defunctioning colostomy preceded all cases except those with low malformations. All cases were corrected by PSARP: full, limited or minimal. All cases were instructed to follow a protocol of post- operative anal dilatations for a variable period of time. Results were satisfactory in 9 cases; 2 cases with abnormal sacrum are expected to show unsatisfactory continence