WE PRESENT A case of isolated carcinoid tumor of the sacrum and highli
ght the unusual nature of this lesion. The histopathology suggests hin
dgut cause, and we discuss the possibility of an underlying congenital
tailgut cyst, We review the pathology of these rare anomalies with re
ference to embryological development and known instances of carcinoid
focus. We also present previous reports of sacral carcinoid.