Anterior Lumbosacral Myelomeningocele Presenting as an Abdominal Mass
DOI:
https://doi.org/10.36552/pjns.v27i3.868Abstract
Myelomeningocele is a complex pathology associated with variable clinical presentations and associated
anomalies. Myelomeningocele presenting as an abdominal mass is extremely rare. This case report presents
such a complex case of anterior lumbosacral myelomeningocele with clinical presentation of abdominal mass
along with its surgical management. A 5-month-old boy was referred to the neurosurgery department,
presenting with a congenital lump on his lower back along with abdominal mass, constipation, and urogenital
dysfunction. An anterior Approach exploratory laparotomy was performed by a left lower abdomen oblique
incision to excise the myelomeningocele. This case report illustrates that anterior lumbosacral
myelomeningocele can present, in rare cases as abdominal mass along with urogenital dysfunctions and
constipation and is managed with a collaborative effort from a multidisciplinary approach including urologists,
neurosurgeons, and general surgeons
References
REFERENCES:
McCarthy DJ, Sheinberg DL, Luther E, McCrea HJJNf. Myelomeningocele-associated hydrocephalus: nationwide analysis and systematic review. 2019;47(4):E5.
Kitov B, Kehayov IJFm. Myelomeningocele with Associated Anomalies–Case Report and Literature Review. 2019;61(3):462-6.
Ntimbani J, Kelly A, Lekgwara PJIN. Myelomeningocele-A literature review. 2020;19:100502.
Paslaru FG, Panaitescu AM, Iancu G, Veduta A, Gica N, Paslaru AC, et al. Myelomeningocele Surgery over the 10 Years Following the MOMS Trial: A Systematic Review of Outcomes in Prenatal versus Postnatal Surgical Repair. 2021;57(7):707.
Anegbe AO, Shokunbi MT, Oyemolade TA, Badejo OA. Intracranial infection in patients with myelomeningocele: profile and risk factors. Child's Nervous System. 2019;35(11):2205-10.
Jowdy PK, Perry RJ, Reynolds RMJJoNP. Use of an abdominal reapproximation anchor system in the closure of large, open myelomeningoceles. 2020;25(4):402-6.
Bedi NK, Chadha R, Bagga D, Anand R, Mohta A. Anterior sacral meningocele: an uncommon cause of constipation in early childhood. Indian pediatrics. 1992;29(9):1157-60.
Ashley WW, Jr., Wright NM. Resection of a giant anterior sacral meningocele via an anterior approach: case report and review of literature. Surgical neurology. 2006;66(1):89-93; discussion
Ntimbani J, Kelly A, Lekgwara P. Myelomeningocele - A literature review. Interdisciplinary Neurosurgery. 2020;19:100502.
Barami K, Pereira J, Canady AI. Anterolateral lumbar lipomyelomeningocele: case report and review of the literature. Neurosurgery. 1997;41(6):1421-3; discussion 3-4.
Diao Y, Rong H, Zhu T. Adult lumbosacral spina bifida with giant myelomeningocele: a case report. Acta Neurologica Belgica. 2022.
Gabrielsson H, Riedel D, Bendt M. Living with Spina Bifida myelomeningocele as adults. 2022.
Lobo GJ, Nayak M. V-Y Plasty or Primary Repair Closure of Myelomeningocele: Our Experience. Journal of pediatric neurosciences. 2018;13(4):398-403.
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Mumtaz Ali, Akram Ullah, Ramzan Hussain, Sajid Khan, Hanif Ur Rahman, Summayah Saqib, Amjad Ali, Abdul Haseeb SahibzadaThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
