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Vol. 22. Issue 4.
Pages 342-344 (January 2011)
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Vol. 22. Issue 4.
Pages 342-344 (January 2011)
Meningocele sacro anterior oculto
Occult anterior sacral meningocele
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A. Antuña-Ramos
Corresponding author
aida_ar20@hotmail.com

Correspondencia:Hospital Universitario Central de Asturias. Fernández Ladreda, 30, 6° B, C.P.: 33011, Oviedo (Asturias). España.
, G. García-Fructuoso, M. Alamar-Abril, A. Guillén-Quesada, J.M. Costa-Clara
Hospital Universitario Central de Asturias. Oviedo. Hospital San Joan de Deu*. Barcelona
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Resumen
Introducción

El meningocele sacro anterior es una rara forma de disrafismo espinal, localizado en el espacio presacro extraperitoneal. Generalmente es asintomático y suele presentarse como una pequeña masa pélvica.

Caso clínico

Presentamos el caso de un niño de 10 años de edad que desarrolla una meningitis bacteriana consecuencia de un absceso pararectal que se comunica con una cavidad meningocélica sacra anterior. Recibe tratamiento quirúrgico realizándose con éxito un abordaje posterior.

Conclusión

La finalidad de la cirugía es reparar el defecto dural y obliterar la comunicación existente entre el saco tecal y el defecto herniario. El abordaje posterior es la técnica quirúrgica más efectiva puesto que tiene menor riesgo de daño neurológico que el abordaje anterior.

Palabras clave:
Meningocele sacro anterior
Masa pélvica
Absceso pararectal
Defecto dural
Abreviaturas:
LCR
MSA
Summary
Background

The anterior sacral meningocele is a rare form of spinal dysraphism located in the presacral extraperitoneal space. It is generally asymptomatic and appears as a small pelvic mass.

Case description

We present a case of a 10 year-old male that developes a bacteria meningitis because of a pararectal abscess that is connected with an anterior sacral meningocele. We successfully treated it using a posterior approach.

Conclusion

The aim of the surgery is to repair the dural defect and to obliterate the communication between the thecal sac and the herniation defect. The posterior approach is the simplest and most effective surgical technique because the lower risk of neurological injury than the anterior approach.

Key words:
Anterior sacral meningocele
Pelvic mass
Pararectal abscess
Dural defect

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