Currarino syndrome in an adult male

Currarino syndrome (CS) is rare in clinical practice. We describe a 28-year-old man who presented with abdominal pain. He had a past operative history of colostomy for an anal problem as a newborn. Plain film of his abdomen disclosed intestinal obstruction and a sacral defect. Computed tomography revealed a presacral mass protruding from the bony defect of sacrum, which was compatible with later findings of magnetic resonance imaging. Total excision by a sacral laminectomy was accomplished smoothly. Pathological examination showed a mature cystic teratoma. The postoperative course was uneventful. We report on this adult patient to demonstrate this rare syndrome, which includes the classic triad of anorectal malformation, presacral mass, and bony defect of the sacrum. Chronic constipation should raise suspicion of this syndrome as a differential diagnosis.