Integrated approach in the post-operative care of Currarino syndrome: A case report

Abstract

Background- Currarino syndrome is a congenital disorder characterized by a triad of features: a presacral mass, anorectal malformation, and a sacral bone defect. This case report discusses the integrated Ayurvedic and modern management of a pediatric patient with persistent postsurgical constipation due to Currarino syndrome. In cases of congenital anorectal stenosis, Currarino triad should be considered as a potential underlying diagnosis and evaluated through thorough physical examination and appropriate imaging. Long term management involves addressing defecation and urinary problems which may be influenced by the degrees of sacral agenesis. Case Presentation- A 9-year-old male presented with irregular bowel habits since birth. He had a history of posterior sagittal anorectoplasty. X-ray of lumbosacral spine showed defect from third sacral vertebra. According to modern science and traditional Ayurvedic medicine, the case was identified as constipation and Vibandha, respectively. The patient received an integrated treatment plan of Proctoclysis enema and Matra Basti. Results- The symptoms were relieved completely after 1 month of treatment with no adverse effects. Conclusion - Vibandha was managed successfully with the integrated approach with no recurrence after 2 years of follow-up.