Spinal dysraphism and the Currarino triad

Area of Science:

• Medical case report
• Developmental biology
• Congenital anomalies

Background:

• Lumbosacral lipomyelomeningocele is a complex spinal malformation.
• Currarino's triad involves anorectal malformations, sacral bony abnormalities, and a presacral mass.
• Pygopagus is a rare conjoined twin presentation.

Purpose of the Study:

• To report a unique case of a female infant with multiple congenital anomalies.
• To discuss the association of pygomelus with lipomyelomeningocele and Currarino's triad.
• To contribute to the understanding of rare developmental disorders.

Main Methods:

• Case presentation and clinical description.
• Review of relevant medical literature.
• Analysis of anatomical abnormalities.

Main Results:

• The patient presented with lumbosacral lipomyelomeningocele, a sacral appendage resembling a foot, sacral dysgenesis, anal atresia, and a recto-vaginal fistula.
• Duplication of the right ureter was also noted.
• The constellation of findings is interpreted as a pygomelus associated with lipomyelomeningocele and an incomplete Currarino's triad.

Conclusions:

• This case highlights a rare combination of congenital anomalies.
• The findings expand the spectrum of presentations for lipomyelomeningocele and Currarino's triad.
• Further research into the embryological basis of such complex malformations is warranted.