It includes anorectal malformations, sacral bony defect, and presacral mass. The etiology is unknown, but recent report of an association with caudal split cord, suggested an embryo genetic mechanism originating in a failure of dorso- ventral separation of the caudal eminence from the hint gut endoderm during late gastrulation 30 . A review of the literature up to 1996 revealed 211 cases of complete or incomplete Currarino syndrome 23 . Medline research until April 2000 revealed other 16 cases. Rarely, anterior sacral meningocele and presacral teratoma coexist in the same patient.
Surgery is the treatment of choice because there is no spontaneous regression.
Recently an endoscopic approach was suggested as a easier and shorter alternative 15,26 . Only 14 cases of anterior sacral meningocele in pregnancy were reported in the literature. Cesarean section is considered the only mode of delivery. 1990, Acta Chir. Nabors M.C et.