Presacral masses have a heterogeneous etiology. Most cystic masses are asymptomatic and are first detected during routine ultrasound examination. During pregnancy, presacral cysts can become infected and cause compression symptoms and therefore require monitoring. This article presents a clinical case of pregnancy and delivery in a woman with an asymptomatic large presacral cyst. This clinical observation once again points to the need for prepregnancy preparation and a competent multidisciplinary approach in the management of women of reproductive age.
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