Incomplete Currarino triad in an adult woman

Introduction: Currarino Syndrome (CS) is a rare entity characterized by triad of sacral agenesis, anorectal malformations, and pre-sacral masses. CS typically diagnosed during the first decade life.
 Case Description: We present case incomplete syndrome manifesting in 36-year-old lady who presented with back pain, urinary retention, anal paresthesia, lower limb weakness. The patient underwent multiple laminectomies partial resection an epidermoid cyst regained function.
 Conclusion: Although rare, possibility should be entertained adult patients lumbosacral symptoms mass. A thorough physical examination strategic pre-operative planning are mandatory to maximize outcomes.