A 30-year-old woman had a history of dyspareunia, chronic constipation, headache, urinary difficulties, and pain in the back and right lower extremity. She had a bicornuate uterus, duplicated vagina and cervix, and a presacral meningocele. After an incomplete resection through a laparotomy, performed in another institution, she underwent a transsacral exploration and closure of a cerebrospinal fluid passage in the proximal portion of the sacral dural sac. The procedure was followed by an improvement in her symptoms.
Ivamoto HS, Wallman LJ. Anterior Sacral Meningocele. Arch Neurol. 1974;31(5):345–346. doi:10.1001/archneur.1974.00490410093011
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