Currarino syndrome as an incidental radiologic finding in a patient with acute flank pain: A case report

• Published in: Radiology case reports 2022-09, Vol.17 (9), p.2936-2939
• Main Authors: Jahromi, Mehdi Ghaderian, Haseli, Sara, Iranpour, Pooya, Nourizadeh, Amir Mohammad
• Format: Article
• Language: English
• Subjects: Acute flank pain; Case Report; Currarino syndrome; Horseshoe kidney; Neurosurgery; Presacral mass; Radiology
• ISSN: 1930-0433; 1930-0433
• DOI: 10.1016/j.radcr.2022.05.039

Currarino syndrome is an autosomal dominant hereditary disease defined as a triad of anorectal abnormality, sacral dysgenesis, and a presacral mass, primarily an anterior sacral meningocele. It is often seen in children and considered rare in adults. It is mostly found as an incidental finding. We present a 21-year-old man who presented with acute flank pain. He had a history of Hirschsprung's disease and therefore had undergone surgery in his infancy. He also had a history of prolonged constipation and had an episode of admission due to suspected obstruction. On physical examination, he had a severe costovertebral angle tenderness. urine exam revealed microscopic hematuria. Laboratory tests were otherwise unremarkable. Computed tomography scan revealed renal stones as well as a horseshoe kidney. Incidental findings included a large simple cystic structure in the presacral area suggestive of an anterior meningocele and sacral dysgenesis associated with scimitar sacral appearance. These findings suggested a diagnosis of Currarino syndrome. Urinary complications of this disease are reported in few articles. An important takeaway note for physicians is to have a high level of suspicion when encountering patients with gastrointestinal, neurologic, or urologic signs and symptoms and consider a thorough history taking and physical examination alongside proper imaging evaluation.