Surgical management of a rare giant sacral meningocele in a child - 31/05/24
, Frederique Belloy b , Aude Bessiere c , Thierry Petit d , Evelyne Emery a , Alin Borha a Highlights |
• | Anterior sacral meningocele (ASM) is a rare congenital disorder. |
• | There is no consensus about surgical approaches to treat this kind of meningocele. |
• | We have taken in charge an ASM in a child by laminectomy. |
Abstract |
Introduction |
Anterior sacral meningocele is a rare congenital disorder, occurring isolated or in syndromic disease.
Case report |
A 15-year-old patient who complained of abdominal pain and urinary dysfunction was managed surgically. Imaging diagnosed a giant presacral meningocele and agenesis of the coccyx.
Discussion |
The presentation of sacral meningocele can be poorly symptomatic, which is why some patients are diagnosed late. Sometimes, diagnosis is suggested by non-specific abdominal symptoms or complications. Abdominal-pelvic radiological examination and lumbar spine MRI are essential, and treatment must be surgical. There are several surgical approaches, but currently no consensus.
Conclusion |
An unusual huge presacral cystic mass in a young patient may be isolated or part of a syndrome, and can be asymptomatic for a long time, leading to late diagnosis. The surgical approach should be based on multidisciplinary discussion. We operated on a giant anterior sacral meningocele in a child using a posterior approach, with a satisfactory result.
Le texte complet de cet article est disponible en PDF.Keywords : Anterior sacral meningocele, Posterior sacral approach, Pediatric, Child
Plan
Vol 70 - N° 5
Article 101571- septembre 2024 Retour au numéro
Article précédent
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