Abstract
A 12-years-old girl followed for recurrent urinary infections was admitted to the pediatric department complaining of a 1-year history of constipation and pelvic pain. The child also reported of low spinal pain without any sensorymotor disorder. There were no events of rectal bleeding. Clinical examination revealed a suprapubic sensitivity with no perceptible abdominal mass. Digital rectal examination revealed a spherical, renitent and painless retrorectal mass. However, no intraluminal lesion was found. The anteroposterior and lateral X rays of both the thoracolumbar spine and the pelvis did not show any particularities. The abdominopelvic ultrasonography revealed a right laterouterine cystic mass measuring 4.5 cm in the largest diameter. The pelvic magnetic resonance imaging (MRI) showed an ovoid mass measuring 65 × 50 mm, with a regular wall thickness of 2 mm. The lesion had a hypersignal content in both the T1- and the T2-weighted images, pushing the rectum and the respective neighbouring structures [Figure 1, Figure 2]. The uterus and the ovaries as well as the lumbar spine were normal.
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