PMC4714616_01
Figure 1: (a) Upper gluteal non tender soft cystic fluctuant reducible mass. (b) Collapsed on pressure. (c) Sagital view of CT scan showing the meningomyelocele. (d) Spindle shaped widening of interpeduncular space of sacrum with a defect in the bone laterally. (e) Coronal CT showing widened spinal canal with body fur. (f) Neural material seen with the margin of the defect. (g) Exteriorized neural placode in progress. (h) Gluteal flap to cover the dual defect that is closed underneath.
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F1
Examination revealed soft, cystic, fluctuant, right upper medial gluteal region (Fig. 1a,b). CECT performed showed widened interpeduncular distance at S1-S3 areas, and a lateral swelling showing evidence of CSF (Fig. 1 c,d,e). Exploration revealed a CSF filled meningomyelocele with some neural elements (Fig. 1f). Neural placode was reduced and repaired with a gluteal muscle cover (Fig. 1g,h).