PMC3680900_01
Clinical photograph showing right gluteal globular cystic mass of size about 15 cm x 15 cm (a). Intraoperative picture shows the meningocele exiting through the sacral defect (b)
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F1
Local examination revealed a large non tender, soft, cystic, globular, fluctuating mass of size about 15 cm x 15 cm over her right gluteal area with positive impulse on coughing [Figure 1].
X-ray spine revealing lumbosacral bony defect along with right gluteal soft tissue shadow
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F2
Lumbosacral bony defect was evident in X-ray spine [Figure 2].
Magnetic resonance imaging axial (a), coronal (b), and sagittal (c) view demonstrating meningocele (green arrow) with pulled out tuft of spinal cord causing tethered cord (yellow arrow)
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F3
Magnetic resonance imaging (MRI) of the lumbo-sacral spine demonstrated meningocele with pulled out tuft of cord from S1 level exiting through right inferior sacral dysraphic defect causing tethered cord [Figure 3].
Magnetic resonance imaging showing incidental finding of bilateral hydronephrosis
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F4
Incidental finding was bilateral hydronephrosis [Figure 4].
PMC3680900_02
Magnetic resonance image of spine sagittal view showing T1 and T2 hyperintense soft tissue mass pulling the cord up to S1 level
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F5
Low lying conus and sacral lipomyelomeningocele causing cord tethering was encountered in the MRI of the lumbosacral spine [Figure 5].