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Anterior Sacral Meningocele With Presacral Cysts: Report of a Case

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Diseases of the Colon & Rectum

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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REFERENCES

  1. M Oren B Lorber SH Lee RC Truex SuffixJr AR Gennaro (1977) ArticleTitleAnterior sacral meningocele: report of five cases and review of the literature Dis Colon Rectum 20 492–505 Occurrence Handle1:STN:280:CSeD3c3ptFU%3D Occurrence Handle143361

    CAS  PubMed  Google Scholar 

  2. T Bryant (1837) ArticleTitleCase of deficiency of the anterior part of the sacrum with a thecal sac in the pelvis, similar to the tumor of spina bifida. Lancet 1 358–60

    Google Scholar 

  3. FA Coller RG Jackson (1943) ArticleTitleAnterior sacral meningocele Surg Gynecol Obstet 76 703–7

    Google Scholar 

  4. D Eder (1949) ArticleTitleAnterior sacral meningocele: survey of literature and report of a case Bull Los Angeles Neurol Soc 14 104–12

    Google Scholar 

  5. RS Silvis LR Riddle GG Clark (1956) ArticleTitleAnterior sacral meningocele Am Surg 22 554–66 Occurrence Handle1:STN:280:CymD2sbot10%3D Occurrence Handle13327237

    CAS  PubMed  Google Scholar 

  6. FS Haddad (1958) ArticleTitleAnterior sacral meningocele: report of two cases and review of the literature Can J Surg 1 230–42 Occurrence Handle1:STN:280:CyeD28njslc%3D Occurrence Handle13523478

    CAS  PubMed  Google Scholar 

  7. PJ Kovalcik JB Burke (1988) ArticleTitleAnterior sacral meningocele and the scimitar sign: report of a case Dis Colon Rectum 31 806–7 Occurrence Handle1:STN:280:BiaD3cvktVc%3D Occurrence Handle3168668

    CAS  PubMed  Google Scholar 

  8. S-W Jao RW Beart SuffixJr RJ Spencer HM Reiman DM Ilstrup (1985) ArticleTitleRetrorectal tumors: Mayo Clinic experience, 1960-1979 Dis Colon Rectum 28 644–52 Occurrence Handle1:STN:280:BimD38botVU%3D Occurrence Handle2996861

    CAS  PubMed  Google Scholar 

  9. VD Yates RS Wilroy GL Whitington JC Simmons (1983) ArticleTitleAnterior sacral defects: an autosomal dominantly inherited condition J Pediatr 102 239–42 Occurrence Handle1:STN:280:BiyC3M7ivFA%3D Occurrence Handle6822928

    CAS  PubMed  Google Scholar 

  10. MH Brown LD Powel (1945) ArticleTitleAnterior sacral meningocele J Neurosurg 2 535–8

    Google Scholar 

  11. BC Rowlands (1955) ArticleTitleAnterior sacral meningocele: report of two cases Br J Surg 43 301–4 Occurrence Handle1:STN:280:CymD3snkvV0%3D Occurrence Handle13284267

    CAS  PubMed  Google Scholar 

  12. JD Jones TG Evans (1959) ArticleTitleAnterior sacral meningocele J Obstet Gynecol Br Commonw 66 477–9 Occurrence Handle1:STN:280:CC%2BC28%2Fjs1A%3D

    CAS  Google Scholar 

  13. FP Shidler V Richards (1943) ArticleTitleAnterior sacral meningocele: report of three cases Ann Surg 118 913–8

    Google Scholar 

  14. RM Sherman HD Caylor L Long (1950) ArticleTitleAnterior sacral meningocele: report of three cases Am J Surg 79 743–7 Occurrence Handle10.1016/0002-9610(50)90346-1 Occurrence Handle15410956

    Article  PubMed  Google Scholar 

  15. CW Sobrado M Mester OS Simonsen CR Justo JM Abreu Particlede A Habr-Gama (1996) ArticleTitleRetrorectal tumors complicating pregnancy: report of two cases Dis Colon Rectum 39 1176–9 Occurrence Handle1:STN:280:BymH38fktlA%3D Occurrence Handle8831537

    CAS  PubMed  Google Scholar 

  16. Christensen, MA, Blatchford, GJ (1992) “Presacral tumors in adults” In: Beck, DE, Wexner, SD (eds.), Fundamentals of anorectal surgery, McGraw-Hill, New York, pp 386–401

  17. S Roux (1918) ArticleTitleContribution a l etude de la meningocele sacree anterieure Rev Med Suisse Romande 38 47–71

    Google Scholar 

  18. EA Weber (1921) ArticleTitlePropos d’un cas de meningocele anterior sacree Rev Fr Gynec Obstet 16 377–92

    Google Scholar 

  19. D Pupovac (1903) ArticleTitleZur Kenntnis der pathologischen Anatomic und genese der hydromeningocele sacralis anterior Arb Geb Klin Chir 1 533–49

    Google Scholar 

  20. AW Adson (1938) ArticleTitleSpina bifida cystica of the pelvis: diagnosis and surgical treatment Minn Med 21 468–75

    Google Scholar 

  21. D Sutton (1963) ArticleTitleSacral cysts Acta Radiol 1 787–95

    Google Scholar 

  22. H Cramer (1960) ArticleTitleMeningocele sacralis ventralis Acta Neurochir (Wien) 9 139–51 Occurrence Handle1:STN:280:CC%2BD3MrmtlY%3D

    CAS  Google Scholar 

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Correspondence to Nikica Grubor M.D..

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Krivokapić, Z., Grubor, N., Micev, M. et al. Anterior Sacral Meningocele With Presacral Cysts: Report of a Case. Dis Colon Rectum 47, 1965–1969 (2004). https://doi.org/10.1007/s10350-004-0664-2

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