TITLE:
Anterior sacral Meningocele Associated with Tethered Cord Syndrome Presenting with Constipation: US, CT, MRI and X-Ray Findings
AUTHORS:
Gokhan Soker, Eda Soker, Bozkurt Gulek, Tugba Tumer, Omer Kaya, Muhammet Arslan, Ayse Yildirim Celikdemir, Cengiz Yılmaz
KEYWORDS:
Anterior sacral Meningocele, Pelvic Cyst, Tethered Cord, MRI, Ultrasonography
JOURNAL NAME:
Open Journal of Radiology,
Vol.5 No.2,
June
23,
2015
ABSTRACT: 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.