The Currarino triad, also known as the "Currarino Syndrome", is a rare complex 
of congenital caudal anomalies including three main features; a sacral bony 
deformity, anorectal malformations, and a presacral mass. We present an 
extremely uncommon case of Currarino syndrome in adulthood presenting with 
repeated episodes of meningitis. Magnetic resonance imaging of spine was 
suggestive of caudal regression. Cord was low lying, conus ending at L3 level 
with evidence of tethering at that level. A large cyst was noted in the sacral 
canal extending forwards in the pelvis through the widened sacral foramina on 
right side. She was operated through a posterior approach, via sacral 
laminectomy. Dura was opened in the midline, large silvery white epidermoid 
tumor was found completely occupying the anterior sacral meningocele. The case 
and relevant literature is discussed.