Unusual presentation of Currarino syndrome in an infant with right gluteal abscess.

Currarino syndrome is a rare condition with an incidence of approximately 1 in 100,000. It is characterised by the triad of a sacral defect, a presacral mass and anal atresia or stenosis, and it is commonly associated with genetic mutations in the MNX1 gene.We report a case of an infant presenting with recurrent right gluteal abscess secondary to an infected sacrococcygeal teratoma, associated with anal stenosis. Extensive workup was performed to investigate for the source of her recurrent gluteal abscess and anal stenosis, leading to the diagnosis of Currarino syndrome. She underwent multiple surgical procedures, including excision of the infected teratoma, and remains on multidisciplinary surveillance for disease recurrence.Although sacrococcygeal teratomas are not uncommon, they rarely present as gluteal abscesses. Such atypical presentations are difficult to diagnose and can mimic common acute surgical conditions. We discuss the diagnostic and therapeutic challenges faced when managing such cases.