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

Gokhan Soker¹, Eda Soker², Bozkurt Gulek¹, Tugba Tumer³, Omer Kaya¹, Muhammet Arslan¹, Ayse Yildirim Celikdemir¹, Cengiz Yılmaz¹

¹Department of Radiology, Numune Teaching and Research Hospital, Adana, Turkey.
²Department of Physical Therapy and Rehabilitation, Numune Teaching and Research Hospital, Adana, Turkey.
³Department of Radiology, Mersin University Faculty of Medicine, Mersin, Turkey.

DOI: 10.4236/ojrad.2015.52017                

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.

Keywords

Anterior sacral Meningocele, Pelvic Cyst, Tethered Cord, MRI, Ultrasonography

Conflicts of Interest

The authors declare no conflicts of interest.

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