Anterior sacral meningocele and constipation

Meningocele sacro anterior y estreñimiento

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Luisa Milena Ávila
María Milena Estrada
Daniel Fernando Ojeda

Abstract

A case is presented of a 25 year-old woman with chronic constipation in whom the diagnosi was initially confused with a gynaecological disease or a tumour. The exploratory laparotomy showed evidence of a cystic lesion hanging from the anterior side of the sacrum. Diagnostic imaging with computed tomography was performed in which an anterior sacral meningocele was observed. Magnetic resonance was then used to rule out any other associated lesions. It was decided to treat it surgically with a posterior approach for resection and laminectomy of the meningocele, with a good post-surgical outcome. In the follow-up at 3 months the patient showed no neurological deficit, no loss of sensitivity in the perineal region, and no changes in her autonomic nervous system.

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