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Case Report

Anterior Sacral Meningocele Masquerading as an Ovarian Cyst: A Rare Clinical Presentation Associated with Marfan Syndrome

1
Department of Radiology, Sifa University School of Medicine, İzmir, Turkey
2
Department of Obstetrics and Gynecology, Sifa University School of Medicine, İzmir, Turkey
*
Author to whom correspondence should be addressed.
Clin. Pract. 2015, 5(2), 752; https://doi.org/10.4081/cp.2015.752
Submission received: 22 January 2015 / Revised: 15 March 2015 / Accepted: 16 April 2015 / Published: 24 April 2015

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.
Keywords: abdominal distension; anterior sacral meningocele; Marfan syndrome; ovarian cyst abdominal distension; anterior sacral meningocele; Marfan syndrome; ovarian cyst

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MDPI and ACS Style

Sahin, N.; Genc, M.; Kasap, E.; Solak, A.; Korkut, B.; Yilmaz, E. Anterior Sacral Meningocele Masquerading as an Ovarian Cyst: A Rare Clinical Presentation Associated with Marfan Syndrome. Clin. Pract. 2015, 5, 752. https://doi.org/10.4081/cp.2015.752

AMA Style

Sahin N, Genc M, Kasap E, Solak A, Korkut B, Yilmaz E. Anterior Sacral Meningocele Masquerading as an Ovarian Cyst: A Rare Clinical Presentation Associated with Marfan Syndrome. Clinics and Practice. 2015; 5(2):752. https://doi.org/10.4081/cp.2015.752

Chicago/Turabian Style

Sahin, Neslin, Mine Genc, Esin Kasap, Aynur Solak, Berrin Korkut, and Erkan Yilmaz. 2015. "Anterior Sacral Meningocele Masquerading as an Ovarian Cyst: A Rare Clinical Presentation Associated with Marfan Syndrome" Clinics and Practice 5, no. 2: 752. https://doi.org/10.4081/cp.2015.752

APA Style

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), 752. https://doi.org/10.4081/cp.2015.752

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