Anterior sacral meningocele and the scimitar sign

Kovalcik, Paul J.; Burke, James B.

doi:10.1007/bf02560112

Cited by 15 publications

(6 citation statements)

References 5 publications

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“…The unilateral sacral agenesis, which is a unilateral concave defect, is known as the scimitar sign [5] [11]. The scimitar sign is seen in 50% of the patients and is known to be a pathognomonic finding of ASM [12] [13]. Our patient, too, demonstrated the scimitar sign.…”

Section: Discussionmentioning

confidence: 59%

Anterior sacral Meningocele Associated with Tethered Cord Syndrome Presenting with Constipation: US, CT, MRI and X-Ray Findings

Söker¹,

Söker²,

Gülek³

et al. 2015

OJRad

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Anterior sacral meningocele is characterized by the herniation of the thecal sac into the retroperitoneal space. A 33-year-old man was referred to our hospital with the complaints of a longlasting constipation and nonspecific lower abdominal pain. At ultrasound, a cystic mass was detected at the presacral space. Computed Tomography revealed a defect at the anterior aspect of the sacrum, together with a presacral cystic mass which showed a connection with the dural sac. At Magnetic Resonance Imaging, it was demonstrated that the cystic mass made an impression on the rectum, and did not possess any solid components. An anteroposterior pelvis radiogram demonstrated a sacral deformity and the scimitar sign. Upon these imaging findings, the patient got the diagnosis of an anterior sacral meningocele. The possibility of an anterior sacral meningocele must always be kept in mind in the differential diagnosis of a pelvic cystic mass.

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Section: Discussionmentioning

confidence: 59%

Anterior sacral Meningocele Associated with Tethered Cord Syndrome Presenting with Constipation: US, CT, MRI and X-Ray Findings

Söker¹,

Söker²,

Gülek³

et al. 2015

OJRad

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“…‘Scimitar’ sign, a smooth curved unilateral sacral defect simulating shape of Arabic sabre on plain X-ray, is considered to be pathognomonic of ASM. [13] Contrast enema, which may show displacement of rectum, sigmoid colon and urinary bladder, is now obsolete for diagnosis. Abdominal and spinal sonography should be the first diagnostic investigation and can diagnose ASM and differentiate it from other cystic lesions in the pelvis.…”

Section: Discussionmentioning

confidence: 99%

Anterior sacral meningocele presenting as constipation

2011

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“…The ''scimitar sign'' is characteristic for anterior sacral meningocele; the sacrum has a concave deformity suggestive of the curved sword of the same name. 25 Transrectal ultrasonography (TRUS) appears to have utility in establishing the diagnosis of a retrorectal tumor. We found TRUS to have a sensitivity of 100% when combined with rigid proctoscopy.…”

Section: Imaging Evaluationmentioning

confidence: 99%

Retrorectal Tumors

Glasgow¹,

Dietz²

2006

Clinics in Colon and Rectal Surgery

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Primary neoplasms of the retrorectal (presacral) space are very rare. These lesions may be congenital or acquired, benign or malignant. They often arise with subtle clinical symptoms, or they may be found incidentally during evaluation for other conditions. Preoperative imaging can provide useful information for operative planning; however, it does not eliminate the need for surgery. Approaches for resection include posterior only and combined abdominoperineal, depending on the characteristics of the lesion. Successful treatment of these enigmatic lesions requires extensive knowledge of pelvic anatomy and expertise in pelvic surgery.

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Anterior sacral meningocele and the scimitar sign

Cited by 15 publications

References 5 publications

Anterior sacral Meningocele Associated with Tethered Cord Syndrome Presenting with Constipation: US, CT, MRI and X-Ray Findings

Anterior sacral Meningocele Associated with Tethered Cord Syndrome Presenting with Constipation: US, CT, MRI and X-Ray Findings

Anterior sacral meningocele presenting as constipation

Retrorectal Tumors

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