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

2015 ◽  
Vol 5 (2) ◽  
Author(s):  
Neslin Sahin ◽  
Mine Genc ◽  
Esin Kasap ◽  
Aynur Solak ◽  
Berrin Korkut ◽  
...  
Keyword(s):  
Marfan Syndrome ◽  
Ovarian Cyst ◽  
Clinical Presentation ◽  
Anterior Sacral Meningocele

scholarly journals Anterior sacral meningocele repair assisted by intraoperative intrathecal fluorescence and 3D printing model: illustrative case

2021 ◽  
Vol 1 (20) ◽  
Author(s):  
Yu-Chaing Yeh ◽  
Ya-Jui Lin ◽  
Chih-Hua Yeh ◽  
Pao-Shiu Hsieh ◽  
Chieh-Tsai Wu
Keyword(s):  
Marfan Syndrome ◽  
Ovarian Cyst ◽  
Primary Repair ◽  
Brain Magnetic Resonance Imaging ◽  
Pelvic Mass ◽  
Illustrative Case ◽  
Subdural Effusion ◽  
Csf Leakage ◽  
Anterior Sacral Meningocele ◽  
3D Printed

BACKGROUND Marfan syndrome is rarely accompanied by anterior sacral meningocele (ASM) resulting from erosion of the sacrum by dural ectasia. ASM may induce symptoms due to severe mass effects. ASM may also mimic ovarian cysts, and the risk of cerebrospinal fluid (CSF) leakage is high if spontaneous rupture of the cyst occurs. In this study, the authors presented a rare case of ASM with iatrogenic CSF leakage in a 34-year-old woman with suspected Marfan syndrome. OBSERVATIONS The patient initially presented with a giant ASM that was first misdiagnosed as an ovarian cyst. Previously, it had been partially resected, which was followed by iatrogenic CSF leakage. Symptoms of intracranial hypotension, including postural headache and dizziness, developed within 1 month. Brain magnetic resonance imaging (MRI) showed pituitary enlargement, bilateral subdural effusion, and tonsillar herniation. Preoperative computed tomography myelography provided three-dimensional (3D) examination of the deformed sacrum and CSF leakage site. Transabdominal approaches led to primary repair, and repair of the meningocele was achieved by intraoperative fluorescein fluorescence and 3D printed model–guided polymethyl methacrylate bone cement reconstruction. No CSF leakage or recurrent ASM was found at the 1.5-year follow-up visit. LESSONS Intraoperative intrathecal fluorescence and 3D-printed models are useful for ASM repair. Preoperative MRI is helpful for differentiating ASM from other causes of a huge pelvic mass, including ovarian cyst.

First Data of Clinical Presentation of Siblings with Diagnosed Marfan Syndrome: Many but Not All

2016 ◽  
Vol 64 (S 02) ◽  
Author(s):  
F. Seggewies ◽  
F. Arndt ◽  
R. Kozlik-Feldmann ◽  
G. Müller ◽  
J. Olfe ◽  
...  
Keyword(s):  
Marfan Syndrome ◽  
Clinical Presentation

Rupture of Giant Anterior Sacral Meningocele in a Patient with Marfan Syndrome: Diagnosis and Management

2018 ◽  
Vol 119 ◽  
pp. 137-141
Author(s):  
Alex M. Hollenberg ◽  
Avionna L. Baldwin ◽  
Addisu Mesfin ◽  
Howard Silberstein
Keyword(s):  
Marfan Syndrome ◽  
Diagnosis And Management ◽  
Syndrome Diagnosis ◽  
Anterior Sacral Meningocele

A 40-Year-Old Woman With Cauda Equina Syndrome Caused by Rectothecal Fistula Arising From an Anterior Sacral Meningocele

Neurosurgery ◽  
2010 ◽  
Vol 67 (5) ◽  
pp. E1464-E1475 ◽  
Author(s):  
Eric Bergeron ◽  
Alain Roux ◽  
Jacques Demers ◽  
Laurent E Vanier ◽  
Lynne Moore
Keyword(s):  
Cauda Equina Syndrome ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Cauda Equina ◽  
Rectal Stump ◽  
Sigmoid Resection ◽  
Abdominal Approach ◽  
Satisfactory Outcome ◽  
Proximal Colostomy ◽  
Anterior Sacral Meningocele

Abstract BACKGROUND AND IMPORTANCE: We present a rare case of a rectothecal fistula arising from an anterior sacral meningocele in a patient with Currarino syndrome. CLINICAL PRESENTATION: The patient was a 40-year-old woman presenting with cauda equina syndrome and ascending meningitis. The meningocele was removed using an anterior abdominal approach. A sigmoid resection was performed with rectal on-table antegrade lavage followed by closure of the rectal fistula, closure of the rectal stump, and proximal colostomy. Closure of the sacral deficit was carried out by suturing a strip of well-vascularized omentum and fibrin glue. CONCLUSION: We discuss the characteristics, management, and evolution of this unusual case. Prompt surgical management using an anterior approach, resection of the sac, closure of the sacral deficit, and fecal diversion resulted in a satisfactory outcome.

Anterior Sacral Meningocele Wrongly Diagnosed as Ovarian Cyst

2010 ◽  
Vol 46 (3) ◽  
pp. 245-246 ◽  
Author(s):  
K.Y. Vamsi ◽  
P. Sarat Chandra ◽  
B.S. Sharma ◽  
A.K. Mohapatra
Keyword(s):  
Ovarian Cyst ◽  
Anterior Sacral Meningocele

Anterior sacral meningocele misdiagnosed for an ovarian cyst

2008 ◽  
Vol 138 (2) ◽  
pp. 249-250 ◽  
Author(s):  
Vladimír Beneš ◽  
Pavel Barsa ◽  
Richard Plný ◽  
Petr Suchomel
Keyword(s):  
Ovarian Cyst ◽  
Anterior Sacral Meningocele

scholarly journals Early Onset Marfan Syndrome: Atypical Clinical Presentation of Two Cases

2015 ◽  
Vol 18 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Abdullah Ozyurt ◽  
A. Baykan ◽  
M. Argun ◽  
O. Pamukcu ◽  
H. Halis ◽  
...  
Keyword(s):  
Marfan Syndrome ◽  
Early Onset ◽  
Poor Prognosis ◽  
Clinical Presentation ◽  
Severe Form ◽  
Early Age ◽  
Newborn Period ◽  
Heart Failure Treatment ◽  
Failure Treatment ◽  
Atypical Clinical Presentation

Abstract Early onset Marfan Syndrome (eoMFS) is a rare, severe form of Marfan Syndrome (MFS). The disease has a poor prognosis and most patients present with resistance to heart failure treatment during the newborn period. This report presents two cases of eoMFS with similar clinical features diagnosed in the newborn period and who died at an early age due to the complications related to the involvement of the cardiovascular system.

scholarly journals Intraoperative diagnosis of an anterior sacral meningocele mimicking a giant ovarian cyst in an adult

2018 ◽  
Vol 75 (8) ◽  
pp. 832-835
Author(s):  
Hakan Simsek
Keyword(s):  
Ovarian Cyst ◽  
Rare Condition ◽  
Knee Extension ◽  
Anterior Wall ◽  
Screening Tools ◽  
Pelvic Cavity ◽  
Resonance Imaging ◽  
Imaging Studies ◽  
Dural Sac ◽  
Anterior Sacral Meningocele

Introduction. Anterior sacral meningocele (ASM) is a very rare condition that is the herniation of the meningeal sac into the pelvic cavity through a developmental bone defect of the anterior wall of the sacrum. Most of the ASM are diagnosed in childhood but the reported cases that are diagnosed in adults exhibit a gamut of complications. Case report. We presented a case of ASM excision that was misdiagnosed as a giant ovarian cyst. A 28-year-old woman was admitted to the General Surgery Clinic and than to the Gynecology Department with suspect of ovarian cyst depending on ultrasonography (US) scans solely. Adnexial torsion was suspected and surgery to remove the cyst and adnexial exploration was planned. When the lesion was found out to be ASM, neurosurgery team tied the neck and excised the whole meningocele. Histopathologic evaluations confirmed dural sac. Neurological examinations right after the operation revealed 20% weakness in knee extension. It totally recovered in 6 months time. Her MR imaging studies and computed tomography (CT) scans revealed multiple ASM sacs and defects of the anterior wall of the sacrum. Conclusion. This case emphasizes the importance of utilizing available screening tools including CT andmagnetic resonance imaging (MRI) studies as the gold standard in addition to US scans in the preoperative period in order to accurately evaluate and characterize any pelvic lesion.

Anterior sacral meningocele associated with a rectal fistula

1999 ◽  
Vol 91 (1) ◽  
pp. 124-127 ◽  
Author(s):  
Michael Owen Fitzpatrick ◽  
William A. S. Taylor
Keyword(s):  
Bacterial Meningitis ◽  
Clinical Presentation ◽  
Diagnosis And Treatment ◽  
Rectal Fistula ◽  
Content Type ◽  
First Case ◽  
Anterior Sacral Meningocele ◽  
Fine Print

✓ The authors report a case of anterior sacral meningocele associated with a rectal fistula in a patient who had presented 20 years earlier with bacterial meningitis. To their knowledge, this is the first case in which a rectal fistula developed due to an anterior sacral meningocele. The clinical presentation, diagnosis, and treatment of this uncommon lesion is discussed.

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