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

© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Radiology case reports - 17(2022), 9 vom: 17. Sept., Seite 2936-2939

Sprache:

Englisch

Beteiligte Personen:

Jahromi, Mehdi Ghaderian [VerfasserIn]
Haseli, Sara [VerfasserIn]
Iranpour, Pooya [VerfasserIn]
Nourizadeh, Amir Mohammad [VerfasserIn]

Links:

Volltext

Themen:

Acute flank pain
Case Reports
Currarino syndrome
Horseshoe kidney
Neurosurgery
Presacral mass
Radiology

Anmerkungen:

Date Revised 07.01.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.radcr.2022.05.039

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM342761021