A Rare Case of a Large Meningocele Posterior Sacrococcygeal


  •   Rakotondraibe Willy Francis

  •   Bemora Joseph Synèse

  •   Habib Nouraly

  •   Raveloharimino Nirina Henintsoa

  •   Tsiaremby Marc Guichard

  •   Rabesandratana Norotiana

  •   Andrianarimanana Diavolana

  •   Andriamamonjy Clément


We report a case of sacrococcygeal meningocele simulating a sacrococcygeal teratoma. Likewise, there are a discussion of the pathophysiology and surgical approach of these types of lesions. We present a case of an exceptionally large posterior coccygeal meningocele of a newborn, and show the interest of radio-echographic couple and the interest of a management surgical approach. This was a case of posterior coccygeal meningocele, in a 10-day-old newborn born at term, with no known maternal history other than active smoking. The clinical examination finds a eupneic newborn, presents a median mass at the level of the sacrococcygeal part, of soft consistency, painless, without signs of inflammation, of normal skin, volume 18 x 21 x 19 cm, with positive transillumination test, no sensitivomotor deficit of both limbs, no other malformative anomalies detected clinically, but presence of anal atony and vesico-anal inconstancy. The ultrasound reveals a fluid formation containing small cysts. The x-ray revealed the absence of the posterior coccyx arch, an appearance in favor of a posterior sacrococcygeal meningocele. The surgery consisted of a meningocele cure followed by a buttock plasty. The postoperative follow-up was simple, without infectious or metabolic complications. Standardization and improvement of accessibility to ultrasound and obstetric MRI could improve the antenatal diagnosis of this pathology in Madagascar.

Keywords: closed spinal bifida, méningocèle, surgery x-ray computed


Beyazal M. An asymptomatic large anterior sacral meningocele in a patient with a history of gestation: a case report with radiological findings. Case Rep Radiol. 2013; 1-3.

Anna AS, Morandi X. Anterior sacral meningocele in pregnancy. Case report. J Neurosurg 2001; 94:162-4.

Khan AK, Deb S, Ray DK, Nag BK. Thecoperitoneal shunt in case of symptomatic anterior sacral meningocele. Neurol India 2004; 52:403-4.

Marin-Sanabria EA, Nagashi T, Yamamoto K, Nakamura Y, Aihara H, Kohmura E. Presacral meningocele associated with hereditary sacral agenesis and treated surgically: evaluation in three members of the AME family. Neurosurgery 2004; 57: E597.

Massimi L, Calisti A, Koutzoglou M, Di Roco C. Giant anterior sacral meningocele and posterior sacral approach. Childs Nerv Syst 2003;19:722-8.

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; 5:44-6.

Sunna TP, Westwick HJ, Zairi F, Berania I, Shedid D. Successful management of a giant anterior sacral meningocele with an endoscopic cutting stapler: case report. J Neurosurg Spine 2016; 24:862-6.

Versteegh HP, Feitz WF, van Lindert EJ, Marcelis C, de Blaaw I. ‘‘This bicycle gives me a headache’’, a congenital anomaly. BMC Res Notes. 2013; 6: 412.

M Thomas, Habaly FA, Hirschauer JS. Hereditary Occurrence of Anterior Sacral Meningocele: Report of Ten Cases. Spine 1987; 12(4), 351-4.

Frey L, Allen Hauser W. Epidemiology of Neural Tube Defects. Epilepsia, 2003; 44(3):4-13.

Luben T. et al. « Epidemiology ». Urban/Rural Differences in Occurrence of Neural Tube Defects in Texas. 2008; 19 (6):102- 103.

Au KS et al. « Dev Disabil Res Rev». Epidemiologic and genetic aspects of spina bifida and other neural tube defects.2010;16(1):6-15.

Jennifer Williams et al. « CDC » Updated Estimates of Neural Tube Defects Prevented by Mandatory Folic Acid Fortification — United States, 1995–2011. 2015;64(01):1-5.

Santana JM, Go´mez A, Aleman P, Travieso MM. Severe hydroureteronephrosis associated to asymptomatic giant anterior sacral meningocele: a case report and review of the literature. Radiologia 2007; 49:43-6.

Sunna TP, Westwick HJ, Zairi F, Berania I, Shedid D. Successful management of a giant anterior sacral meningocele with an endoscopic cutting stapler: case report. J Neurosurg Spine 2016; 24:862-6.

Raftopoulos C, Pierard GE, Rétif C, Braude P, Brotchi J. Endoscopic Cure of a Giant Sacral Meningocele Associated with Marfan’s Syndrome. Neurosurgery, 1992; 30(5), 765-8.

Voyvodic F, Scroop R, Sanders RR. Anterior Sacral Meningocele as a Pelvic Complication of Marfan Syndrome. The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1999; 39(2), 262-5.

Stone JG, Bergmann LL, Takamori R, Donovan DJ. Giant pseudomeningocele causing urinary obstruction in a patient with Marfan syndrome. J Neurosurg Spine 2015; 23:77–80. R. A. Scholtz, “The Spread Spectrum Concept,” in Multiple Access, N. Abramson, Ed. Piscataway, NJ: IEEE Press, 1993, ch. 3, pp. 121-3.


How to Cite
Francis, R. W., Synèse, B. J., Nouraly, H., Henintsoa, R. N., Guichard, T. M., Norotiana, R., Diavolana, A., & Clément, A. (2021). A Rare Case of a Large Meningocele Posterior Sacrococcygeal. European Journal of Clinical Medicine, 2(1), 20–22. https://doi.org/10.24018/clinicmed.2021.2.1.17

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