Meningocele sacralis ventralis

Anterior sacral meningocele is a rare anomaly most frequently presenting as a presacral mass. Since the first description in 1837, approximately 150 cases have been reported. The case presented is a 37-year-old female in whom an asymptomatic presacral mass was discovered during her first delivery. Because normal delivery was impossible, a cesarean section was performed. A year later, in a regional hospital a "cystic presacral tumor" was treated with biopsy and drainage. Four years later, she developed constipation caused by perineal compression for which she was admitted to our department in which two anterior presacral cysts were excised. The recovery was complicated with meningitis, which was successfully treated with antibiotics. Whenever a presacral mass is found, anterior sacral meningocele has to be a diagnostic consideration. The symptoms are usually related to the compression on rectum, bladder, and sacral nervous plexus. Rectal examination and radiography of the pelvis with the sacral bone showing the "scimitar sign" are the main diagnostic methods. Myelography, computed tomography, and magnetic resonance imaging are the best methods for identifying the precise anatomy of sacral meningocele and for proper planning of the operation. Transvaginal or transrectal aspiration and drainage are not advised, because they may result in a lethal outcome caused by sepsis.

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“…Most of the patients died because of complications, such as arachnoiditis with paraplegia, 21 liquor fistula, and prolonged meningitis. 22 …”

Section: Discussionmentioning

confidence: 97%

Anterior Sacral Meningocele With Presacral Cysts: Report of a Case

Krivokapić¹,

Grubor²,

Micev³

et al. 2004

Diseases of the Colon &Amp; Rectum

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“…Certain forms of meningocele that are impossible to diagnose with any certainty without myelography or some sort of meningeal puncture 'also exist. As examples may be cited the intrasacral and anterior sacral (11,42,46) and the lateral thoracic (20,37,49) types. These rare meningoceles often give rise to no symptoms until adult life, and then they may be operated upon or punctured in the belief that the condition is a cyst or a tumour.…”

Section: Discussionmentioning

confidence: 99%

Meningo- and Myelomeningocele Studied by Gas Myelography

Swedberg¹

1963

Acta Radiologica. Diagnosis

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“…Anterior sacral meningocele must be considered a pathological deviation of a phylogenetical process. The origin of spinal malformations and thus of the myelocele and meningocele according to Gardner (15) and Cramer (10) is changes in the neural tube in embryonic life with dilatation of the neuenteric canal. According to Cardner and Cramer this dilatation is due to reduced permeability of the roof of the fourth ventricle of the brain, which interferes with the passage of liquor into the subarachnoid space.…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

“…Differential diagnoses include presacral dermoid cyst, lipoma, chondroma, teratoma, chordoma, plasmocytoma, neurinoma, ovary tumor, retrouterine hematocele and pelvic ecchinococcus (7,10,13,16).…”

Section: Neurological Symptoms: Disturbance Ofmentioning

confidence: 99%

Hereditary Defect of the Sacrum and Coccyx With Anterior Sacral Meningocele

Cohn¹,

Bay-Nielsen²

1969

Acta Paediatrica

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Summary Six familial cases of partial absence of the sacrum and the coccyx are described. Four had sacral ventral meningocele. There was a sex‐linked dominant inheritance. The diagnosis of the meningocele was established by myelography. The symptoms were constipation and incontinence of urine. Three patients also had recurrent infections of the urinary tract, and three had congenital anal stenosis.

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Meningocele sacralis ventralis

Cited by 10 publications

References 16 publications

Anterior Sacral Meningocele With Presacral Cysts: Report of a Case

Anterior Sacral Meningocele With Presacral Cysts: Report of a Case

Meningo- and Myelomeningocele Studied by Gas Myelography

Hereditary Defect of the Sacrum and Coccyx With Anterior Sacral Meningocele

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