Meningocele sacro anterior. Caso clinico y revision de la literatura / Anterior sacral meningocele. Clinical case and literature review

ABSTRACT

Objective: to describe the surgical treatment of an anterior sacral meningocele (ASM). Description a 67 year-old woman presented with pelvic mass symptoms, and had a previous history of four surgeries with mistaken diagnosis, consulted to the neurosurgery departament for pain treatment. MRI revealed a cystic sacral mass connected with the spinal subarachnoid space, with low density structures in the pedicle. MyeloCT showed no neural elements in the sac. Intervention an anterior transabdominal approach with wall cyst dissection, excision of the sac and simple ligation of the neck was performed. Conclusion: we presented an uncommon case of ASM in an adult woman, with the transabdominal surgical approach was the treatment of choice in anterior sacral meningocele