PURPOSE: Currarino triad, which comprises anorectal stenosis, anterior sacral 
defect, and a presacral mass, is an uncommon cause of constipation in children 
and adults. The presacral mass in this triad is most often caused by an anterior 
sacral meningocele, a teratoma, or an enterogenous cyst, but rarely may be 
caused by dual pathology. A neonate with Currarino triad and dual pathology in 
the presacral mass is described in this report.
METHOD: A male Chinese neonate, who presented with abdominal distention and 
constipation on the second day of life, was found to have features of Currarino 
triad. Colostomy was done in the neonatal period, and the presacral mass was 
excised by posterior sagittal perineal approach at the age of six months.
RESULTS: The excised presacral mass consisted of an anterior meningocele and a 
teratoma. The patient continued to have constipation during follow-up and 
required anorectoplasty to correct residual anorectal stenosis. At the time of 
this report the patient was three years old and growing normally with normal 
anorectal function.
DISCUSSION: Of a total of about 200 cases of complete Currarino triad found in 
the literature, in only 22 patients did the presacral mass contain both 
meningocele and teratoma. The features of these 22 patients and the current 
views on the surgical management of Currarino triad are discussed.