Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome

  • Neslin Sahin | neslinshn@gmail.com Department of Radiology, Sifa University School of Medicine, İzmir, Turkey.
  • Mine Genc Department of Obstetrics and Gynecology, Sifa University School of Medicine, İzmir, Turkey.
  • Esin Kasap Department of Obstetrics and Gynecology, Sifa University School of Medicine, İzmir, Turkey.
  • Aynur Solak Department of Radiology, Sifa University School of Medicine, İzmir, Turkey.
  • Berrin Korkut Department of Obstetrics and Gynecology, Sifa University School of Medicine, İzmir, Turkey.
  • Erkan Yilmaz Department of Radiology, Sifa University School of Medicine, İzmir, Turkey.

Abstract

Anterior sacral meningocele is a very rare clinical entity characterized by herniation of a meningeal sac through a sacrococcygeal defect. We report a case of a 20-year old female with Marfan syndrome who presented with abdominal distention that was misdiagnosed as an ovarian cyst on pelvic ultrasound. Pelvic magnetic resonance (MR) imaging showed large, well-defined multiloculated intrasacral and presacral cysts communicating via two separate broad necks and extending through defects in anterior aspect of sacral vertebrae. This case emphasizes that anterior sacral meningocele should be considered in the differential diagnosis of cases with pelvic cysts particularly in patients with underlying connective tissue disorders. Because severe neurologic complications or even death may occur without proper preoperative planning in such cases, MR imaging should always be performed for evaluation and characterization of pelvis cystic lesions.

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Published
2015-04-24
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Issue
Section
Case Reports
Keywords:
Abdominal distension, anterior sacral meningocele, Marfan syndrome, ovarian cyst.
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How to Cite
Sahin, N., Genc, M., Kasap, E., Solak, A., Korkut, B., & Yilmaz, E. (2015). Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome. Clinics and Practice, 5(2). https://doi.org/10.4081/cp.2015.752