title: Management of a parturient with an anterior sacral meningocele.
abstract: Anterior sacral meningoceles are rare disorders featuring anterior herniation of the meninges through a sacral defect or foramen. They are frequently misdiagnosed as ovarian or abdominal cysts and surgical exploration has resulted in meningitis. In pregnancy it represents an obstacle to delivery of the fetus and rupture of the meningocele during vaginal delivery is a significant risk. The successful multidisciplinary management of a primiparous patient with an anterior sacral meningocele and previous abdominal surgery is presented.
authors.affiliation: Department of Anaesthesia, Royal Hospital for Women, Sydney, Australia. cathy_gary.mcgregor@bigpond.com
authors.forename: C
authors.initials: C
authors.lastname: McGregor
authors.forename: S
authors.initials: S
authors.lastname: Katz
authors.forename: M
authors.initials: M
authors.lastname: Harpham
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D000701:Analgesics, Opioid / Q000627:therapeutic use; D000767:Anesthesia, Epidural / Q000379:methods*; D000773:Anesthesia, Obstetrical / Q000379:methods*; D000775:Anesthesia, Spinal / Q000379:methods*; D000779:Anesthetics, Local; D002045:Bupivacaine; D002585:Cesarean Section; D000013:Congenital Abnormalities / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D005283:Fentanyl / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008588:Meningocele / Q000473:pathology*; D009020:Morphine / Q000627:therapeutic use; D011247:Pregnancy; D012445:Sacrococcygeal Region / Q000002:abnormalities / Q000473:pathology; D012447:Sacrum / Q000002:abnormalities / Q000473:pathology*
chemical_list: D000701:Analgesics, Opioid; D000779:Anesthetics, Local; D009020:Morphine; D005283:Fentanyl; D002045:Bupivacaine