PMC4717608_01
(A) Colon study findings showed dilated sigmoid colon (arrowheads) and severe rectal stenosis (arrow). (B) CT myelogram finding revealed anterior meningocele (arrowheads) with bony defect in lower sacrum (arrow). Adapted from Park KW, et al. J Korean Surg Soc 1986; 31:783-8.
astr-90-49-g001.jpg
PMC4717608_01_astr-90-49-g001.jpg
F1
Colon study showed a severe anorectal stenosis (Fig. 1A). CT myelogram revealed anterior meningocele that seemed to cause anorectal stenosis by compressing the rectum and sacral bony defect (Fig. 1B).
PMC4717608_02
Preoperative colon study revealed severely dilated sigmoid colon (arrowheads) and rectal stenosis (arrow).
astr-90-49-g002.jpg
PMC4717608_02_astr-90-49-g002.jpg
F2
Colon study showed anorectal stenosis (Fig. 2).
Pelvic MRI: (A) Sagittal view revealed lobulating fatty mass in the presacral area (arrow), (B) Coronal view revealed sacral bony defect (arrow), (C) Transverse view revealed double vagina, a subtype of Mullerian duct didelphism (arrow).
astr-90-49-g003.jpg
PMC4717608_02_astr-90-49-g003.jpg
F3
Pelvic magnetic resonance imaging revealed lobulating fatty mass in the presacral area, sacral bony defect and Mullerian duct didelphism (Fig. 3).
Distal loopogram imaging showed suspicious transitional zone (arrows).
astr-90-49-g004.jpg
PMC4717608_02_astr-90-49-g004.jpg
F4
Transitional zone was suspected in the rectum (Fig. 4).