Anterior sacral meningocele complications

• Re: Factors affecting clean intermittent catheterization compliance among children and adolescents with neurogenic bladder due to spina bifida and caudal regression syndrome
• Surgical management of a rare giant sacral meningocele in a child
• lVentral tethering-is the prognosis worse than in dorsal tethering in the dysraphic spine?
• Factors affecting clean intermittent catheterization compliance among children and adolescents with neurogenic bladder due to spina bifida and caudal regression syndrome
• Posterior median surgical approach to anterior sacral meningocele complicated by rectothecal fistula
• Posterior Surgical Ligation and Cyst Decompression -via Needle Puncture- of a Large Anterior Sacral Pelvic Meningocele Through Posterior Sacral Laminectomy
• Caudal regression syndrome type 1 with minimally invasive computed tomography and magnetic resonance imaging autopsy: a case report
• Intrasacral meningoceles: Clinical presentation, surgical management, and postoperative outcome: The Giannina Gaslini Hospital's experience

A 33-year-old woman with no medical history causing pneumorrachis, tension pneumocephalus, and sacral meningocele infection leading to death. Lumbar puncture is a simple diagnostic procedure with few complications, but if the technique is incorrectly performed, or if it is accompanied by occult congenital malformations such as sacral anterior meningocele, the consequences can be fatal ¹⁾.

A child with constipation may be treated with laxatives for long periods or misdiagnosed as having Hirschsprung's disease. This can be avoided by often ignored digital rectal examination. The cysts may become secondarily infected leading to meningitis ²⁾ and to pyocele. The associated tethered cord could present with neurological signs ³⁾ Rarely, these can be occupied by epidermoid cyst ⁴⁾ or could rupture into the rectum. ASM has been reported to be misdiagnosed as ovarian cyst at many occasions ⁵⁾.