{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T12:20:05Z","timestamp":1774354805664,"version":"3.50.1"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,8,15]]},"abstract":"<jats:p>We report a case of non-identical twins who presented with identical neonatal intestinal obstruction with features of anorectal stenosis, presacral mass and sacral anomaly consistent with Currarino\u2019s syndrome or triad. Plain sacral radiograph, contrast enema and MRI were diagnostic. Initial management involved a defunctioning colostomy followed by a posterior sagittal anorectoplasty with excision of the teratoma\u00b1anterior sacral meningocele and finally closure of colostomy in a staged multidisciplinary approach. The twins\u2019 father is also affected with features of Currarino\u2019s syndrome but was diagnosed during family screening. Currarino's syndrome presenting with identical neonatal low intestinal obstruction in a non-identical set of twins is rare and interesting. Antenatal diagnosis of Currarino's syndrome is difficult and may prove to be a challenge even in the postnatal period. Sacral spine radiograph, contrast enema and MRI are diagnostic. Management requires high index of suspicion, low threshold for MRI and multidisciplinary staged approach.<\/jats:p>","DOI":"10.1136\/bcr-2014-204276","type":"journal-article","created":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T08:17:21Z","timestamp":1410164241000},"page":"bcr2014204276","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Currarino's syndrome in twins presenting as neonatal intestinal obstruction\u2014identical presentation in non-identical twins"],"prefix":"10.1136","volume":"2014","author":[{"given":"Ramnik V","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK"},{"name":"Department of Paediatric Urology, Great Ormond Street Children Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"De Coppi","sequence":"additional","affiliation":[{"name":"Neonatal and Paediatric Surgery, ICH and Great Ormond Street Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward","family":"Kiely","sequence":"additional","affiliation":[{"name":"Specialist Neonatal and Paediatric Surgery (SNAPS) Department, Great Ormond Street Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agostino","family":"Pierro","sequence":"additional","affiliation":[{"name":"Specialist Neonatal and Paediatric Surgery (SNAPS) Department, Great Ormond Street Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,9,8]]},"reference":[{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.1","doi-asserted-by":"crossref","first-page":"pii: bcr2013200310","DOI":"10.1136\/bcr-2013-200310","article-title":"Neonatal Currarino's syndrome presenting as intestinal obstruction","volume":"2013","author":"Patel","year":"2013","journal-title":"BMJ Case Rep"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.05.017"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00199-4"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6696-9"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.5","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2000.19258"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2004.05.003"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.7","doi-asserted-by":"publisher","DOI":"10.1080\/02841850600598327"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.8","doi-asserted-by":"crossref","first-page":"1923","DOI":"10.1002\/ajmg.a.31420","article-title":"A previously unreported mutation in Currarino syndrome kindred","volume":"140","author":"Wang","year":"2006","journal-title":"Am J Med Genet A"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.05.004"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3352-2"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.11","first-page":"155","article-title":"Currarino triad: different forms of presentation","volume":"25","author":"Calleja","year":"2012","journal-title":"Cir Pediatr"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.12","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-6-412"},{"key":"2025082722222757000_2014.sep08_1.bcr2014204276.13","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1066487"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-204276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:22:35Z","timestamp":1756358555000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-204276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,8]]},"references-count":13,"alternative-id":["10.1136\/bcr-2014-204276"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-204276","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,8]]}}}