Abstract
IntroductionLateral meningocele is a very rare disorder. It has been reported in patients with neurofibromatosis or Marfan's syndrome. Previous reports have described lateral meningoceles in the thoracic or cervical region. Lateral meningocele in the sacral area was reported in the literature only once.Case presentationWe describe a 3.5-year-old Iranian girl who presented with a lateral gluteal mass. Neuroimaging and intra-operative evaluation showed that the mass was a lateral sacral meningocele with spinal communication through the iliac bone. We also present a review of the literature about this entity.ConclusionsAlthough lateral meningoceles especially in the sacral region are rare disorders, their possibility should always be considered in young patients presenting with a paravertebral or gluteal mass.
Highlights
Lateral meningocele is a very rare disorder
Case presentation: We describe a 3.5-year-old Iranian girl who presented with a lateral gluteal mass
Conclusions: lateral meningoceles especially in the sacral region are rare disorders, their possibility should always be considered in young patients presenting with a paravertebral or gluteal mass
Summary
A meningocele is an outpouching of leptomeninges through a developmental defect in the dura. A physical examination of our patient showed a soft, 3 × 4-cm fluctuant and non-pulsatile mass over her gluteal region It was completely covered with normal skin without any vascular or hairy stigmata. After performing a transverse incision at the equator of our patient’s lesion, we found a cystic, relatively thin-walled mass with a smooth pink exterior layer and a shiny creamy interior surface lying under the right gluteal muscles. The final pathological diagnosis was reported to be a meningocele with inflammatory reaction Analysis of her intracystic fluid showed the following: red blood cells = 100/cc, white blood cells = 2500/cc (polymorphonuclear = 72%, lymphocyte = 28%), glucose = 60 mg/dl and protein = 45 mg/dl. Our patient was found asymptomatic when she was presented for follow-up examination after 18 months
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