title: [Occult anterior sacral meningocele].
abstract: BACKGROUND
  The anterior sacral meningocele is a rare form of spinal dysraphism located in the presacral extraperitoneal space. It is generally asymptomatic and appears as a small pelvic mass.
  
  
  METHODS
  We present a case of a 10 year-old male that develops a bacteria meningitis because of a pararectal abscess that is connected with an anterior sacral meningocele. We successfully treated it using a posterior approach.
  
  
  CONCLUSIONS
  The aim of the surgery is to repair the dural defect and to obliterate the communication between the thecal sac and the herniation defect. The posterior approach is the simplest and most effective surgical technique because the lower risk of neurological injury than the anterior approach.
authors.affiliation: Hospital Universitario Central de Asturias, Oviedo, Espana. aida_ar20@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Antuña-Ramos
authors.forename: G
authors.initials: G
authors.lastname: García-Fructuoso
authors.forename: M
authors.initials: M
authors.lastname: Alamar-Abril
authors.forename: A
authors.initials: A
authors.lastname: Guillén-Quesada
authors.forename: J M
authors.initials: JM
authors.lastname: Costa-Clara
mesh_terms: D000015:Abnormalities, Multiple / Q000382:microbiology* / Q000473:pathology* / Q000601:surgery; D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000382:microbiology / Q000503:physiopathology / Q000601:surgery; D008588:Meningocele / Q000382:microbiology* / Q000473:pathology* / Q000601:surgery; D012445:Sacrococcygeal Region / Q000002:abnormalities / Q000382:microbiology / Q000473:pathology / Q000601:surgery