Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis

Harold Brem, Bonnie L. Beaver, Paul M. Colombani, James Zinreich, L. R. Scherer, Benjamin S. Carson, J. Alex Haller

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The simultaneous presentation of clinically symptomatic anal anomalies and roentgenographically demonstrated sacral dysgenesis should alert the pediatric surgeon to investigate for the presence of a presacral malformation. We report on such a case to illustrate a new radiographic technique that facilitates diagnosis and management of complex congenital malformations. A 1-day-old white boy presented with anal stenosis, a scimitar-shaped sacrum, and large anterior and posterior meningoceles. In addition, a distinct presacral tumor-a teratoma-was identified. These malformations were identified utilizing metrizamide myelography and three-dimensional reconstruction computed tomography (CT) scanning. The meningoceles and a tethered cord were successfully corrected utilizing a posterior approach. A diverting colostomy was performed and subsequently taken down. Two years postoperatively, the patient continues to do well. This case demonstrates that this triad of anomalies (presacral mass, sacral dysgenesis, and anorectal malformation), once considered, can be safely detected with modern radiologic techniques and can be expeditiously corrected during infancy before further deterioration occurs.

Original languageEnglish
Pages (from-to)1076-1078
Number of pages3
JournalJournal of Pediatric Surgery
Volume24
Issue number10
DOIs
StatePublished - 1989
Externally publishedYes

Fingerprint

Meningocele
Pathologic Constriction
Metrizamide
Sacrum
Myelography
Colostomy
Teratoma
Tomography
Pediatrics
Neoplasms
Sacral defect and anterior sacral meningocele
Surgeons
Anorectal Malformations

Keywords

  • anal stenosis
  • Anterior sacral meningocele
  • presacral teratoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Brem, H., Beaver, B. L., Colombani, P. M., Zinreich, J., Scherer, L. R., Carson, B. S., & Haller, J. A. (1989). Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis. Journal of Pediatric Surgery, 24(10), 1076-1078. https://doi.org/10.1016/S0022-3468(89)80220-9

Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis. / Brem, Harold; Beaver, Bonnie L.; Colombani, Paul M.; Zinreich, James; Scherer, L. R.; Carson, Benjamin S.; Haller, J. Alex.

In: Journal of Pediatric Surgery, Vol. 24, No. 10, 1989, p. 1076-1078.

Research output: Contribution to journalArticle

Brem, H, Beaver, BL, Colombani, PM, Zinreich, J, Scherer, LR, Carson, BS & Haller, JA 1989, 'Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis', Journal of Pediatric Surgery, vol. 24, no. 10, pp. 1076-1078. https://doi.org/10.1016/S0022-3468(89)80220-9
Brem, Harold ; Beaver, Bonnie L. ; Colombani, Paul M. ; Zinreich, James ; Scherer, L. R. ; Carson, Benjamin S. ; Haller, J. Alex. / Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis. In: Journal of Pediatric Surgery. 1989 ; Vol. 24, No. 10. pp. 1076-1078.
@article{d1212188a8c84c9295e0843283a8b053,
title = "Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis",
abstract = "The simultaneous presentation of clinically symptomatic anal anomalies and roentgenographically demonstrated sacral dysgenesis should alert the pediatric surgeon to investigate for the presence of a presacral malformation. We report on such a case to illustrate a new radiographic technique that facilitates diagnosis and management of complex congenital malformations. A 1-day-old white boy presented with anal stenosis, a scimitar-shaped sacrum, and large anterior and posterior meningoceles. In addition, a distinct presacral tumor-a teratoma-was identified. These malformations were identified utilizing metrizamide myelography and three-dimensional reconstruction computed tomography (CT) scanning. The meningoceles and a tethered cord were successfully corrected utilizing a posterior approach. A diverting colostomy was performed and subsequently taken down. Two years postoperatively, the patient continues to do well. This case demonstrates that this triad of anomalies (presacral mass, sacral dysgenesis, and anorectal malformation), once considered, can be safely detected with modern radiologic techniques and can be expeditiously corrected during infancy before further deterioration occurs.",
keywords = "anal stenosis, Anterior sacral meningocele, presacral teratoma",
author = "Harold Brem and Beaver, {Bonnie L.} and Colombani, {Paul M.} and James Zinreich and Scherer, {L. R.} and Carson, {Benjamin S.} and Haller, {J. Alex}",
year = "1989",
doi = "10.1016/S0022-3468(89)80220-9",
language = "English",
volume = "24",
pages = "1076--1078",
journal = "Journal of Pediatric Surgery",
issn = "0022-3468",
publisher = "W.B. Saunders Ltd",
number = "10",

}

TY - JOUR

T1 - Neonatal diagnosis of a presacral mass in the presence of congenital anal stenosis and partial sacral agenesis

AU - Brem, Harold

AU - Beaver, Bonnie L.

AU - Colombani, Paul M.

AU - Zinreich, James

AU - Scherer, L. R.

AU - Carson, Benjamin S.

AU - Haller, J. Alex

PY - 1989

Y1 - 1989

N2 - The simultaneous presentation of clinically symptomatic anal anomalies and roentgenographically demonstrated sacral dysgenesis should alert the pediatric surgeon to investigate for the presence of a presacral malformation. We report on such a case to illustrate a new radiographic technique that facilitates diagnosis and management of complex congenital malformations. A 1-day-old white boy presented with anal stenosis, a scimitar-shaped sacrum, and large anterior and posterior meningoceles. In addition, a distinct presacral tumor-a teratoma-was identified. These malformations were identified utilizing metrizamide myelography and three-dimensional reconstruction computed tomography (CT) scanning. The meningoceles and a tethered cord were successfully corrected utilizing a posterior approach. A diverting colostomy was performed and subsequently taken down. Two years postoperatively, the patient continues to do well. This case demonstrates that this triad of anomalies (presacral mass, sacral dysgenesis, and anorectal malformation), once considered, can be safely detected with modern radiologic techniques and can be expeditiously corrected during infancy before further deterioration occurs.

AB - The simultaneous presentation of clinically symptomatic anal anomalies and roentgenographically demonstrated sacral dysgenesis should alert the pediatric surgeon to investigate for the presence of a presacral malformation. We report on such a case to illustrate a new radiographic technique that facilitates diagnosis and management of complex congenital malformations. A 1-day-old white boy presented with anal stenosis, a scimitar-shaped sacrum, and large anterior and posterior meningoceles. In addition, a distinct presacral tumor-a teratoma-was identified. These malformations were identified utilizing metrizamide myelography and three-dimensional reconstruction computed tomography (CT) scanning. The meningoceles and a tethered cord were successfully corrected utilizing a posterior approach. A diverting colostomy was performed and subsequently taken down. Two years postoperatively, the patient continues to do well. This case demonstrates that this triad of anomalies (presacral mass, sacral dysgenesis, and anorectal malformation), once considered, can be safely detected with modern radiologic techniques and can be expeditiously corrected during infancy before further deterioration occurs.

KW - anal stenosis

KW - Anterior sacral meningocele

KW - presacral teratoma

UR - http://www.scopus.com/inward/record.url?scp=0024436970&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024436970&partnerID=8YFLogxK

U2 - 10.1016/S0022-3468(89)80220-9

DO - 10.1016/S0022-3468(89)80220-9

M3 - Article

VL - 24

SP - 1076

EP - 1078

JO - Journal of Pediatric Surgery

JF - Journal of Pediatric Surgery

SN - 0022-3468

IS - 10

ER -