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

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 ultrasou...

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Main Authors: Neslin Sahin, Mine Genc, Esin Kasap, Aynur Solak, Berrin Korkut, Erkan Yilmaz
Format: Article
Language:English
Published: MDPI AG 2015-04-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/752
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author Neslin Sahin
Mine Genc
Esin Kasap
Aynur Solak
Berrin Korkut
Erkan Yilmaz
author_facet Neslin Sahin
Mine Genc
Esin Kasap
Aynur Solak
Berrin Korkut
Erkan Yilmaz
author_sort Neslin Sahin
collection DOAJ
description 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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spelling doaj.art-fb9152b4fdfe400194447046ca967d872022-12-22T04:20:56ZengMDPI AGClinics and Practice2039-72752039-72832015-04-015210.4081/cp.2015.752303Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndromeNeslin Sahin0Mine Genc1Esin Kasap2Aynur Solak3Berrin Korkut4Erkan Yilmaz5Department of Radiology, Sifa University School of Medicine, İzmirDepartment of Obstetrics and Gynecology, Sifa University School of Medicine, İzmirDepartment of Obstetrics and Gynecology, Sifa University School of Medicine, İzmirDepartment of Radiology, Sifa University School of Medicine, İzmirDepartment of Obstetrics and Gynecology, Sifa University School of Medicine, İzmirDepartment of Radiology, Sifa University School of Medicine, İzmirAnterior 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.https://www.clinicsandpractice.org/index.php/cp/article/view/752Abdominal distensionanterior sacral meningoceleMarfan syndromeovarian cyst.
spellingShingle Neslin Sahin
Mine Genc
Esin Kasap
Aynur Solak
Berrin Korkut
Erkan Yilmaz
Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome
Clinics and Practice
Abdominal distension
anterior sacral meningocele
Marfan syndrome
ovarian cyst.
title Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome
title_full Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome
title_fullStr Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome
title_full_unstemmed Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome
title_short Anterior sacral meningocele masquerading as an ovarian cyst: a rare clinical presentation associated with Marfan syndrome
title_sort anterior sacral meningocele masquerading as an ovarian cyst a rare clinical presentation associated with marfan syndrome
topic Abdominal distension
anterior sacral meningocele
Marfan syndrome
ovarian cyst.
url https://www.clinicsandpractice.org/index.php/cp/article/view/752
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