Abstract | STUDY DESIGN: OBJECTIVE: To report a rare case of anterior sacral meningocele in which primary presentation was mimicking perianal abscess. SUMMARY AND BACKGROUND DATA: Anterior sacral meningocele is a rare example of spinal dysraphism. It is created by a herniation of a dural sac through a defect in the sacral wall. It is usually asymptomatic until later decades. Most of the presenting symptoms are related to the pelvic organs. In the management of anterior sacral meningocele, surgical treatment is necessary. METHODS: RESULTS: Following the rehabilitation program, the patient has recovered completely within 8 months. CONCLUSION: This case represents a rare example of anterior sacral meningocele in which the patient was misdiagnosed as perianal abscess. Meningitis either iatrogenic or spontaneous may occur during the course of anterior sacral meningocele. Once it has occurred, it may result in severe morbidity and mortality. However, our case had been treated effectively, and she had regained her health with rehabilitation program.
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Authors | Serpil Bal, SüKran Kurtulmuş, Hikmet Koçyiğit, Alev Gürgan |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 29
Issue 14
Pg. E298-9
(Jul 15 2004)
ISSN: 1528-1159 [Electronic] United States |
PMID | 15247591
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Abscess
(diagnosis, diagnostic imaging)
- Adult
- Anti-Bacterial Agents
- Combined Modality Therapy
- Diagnostic Errors
- Drug Therapy, Combination
- Female
- Humans
- Laminectomy
- Magnetic Resonance Imaging
- Meningitis, Bacterial
(complications, drug therapy)
- Meningocele
(diagnosis, diagnostic imaging, surgery)
- Methicillin Resistance
- Polyradiculopathy
(etiology, rehabilitation)
- Postoperative Complications
(etiology)
- Recovery of Function
- Sepsis
(etiology, microbiology)
- Staphylococcal Infections
(complications, drug therapy)
- Suction
- Tomography, X-Ray Computed
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