PMC3680899_01
Lumbosacral mass obliterating the inter-gluteal cleft
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F1
A 6-month-old female child presented with a progressively increasing lumbosacral swelling which was present since birth [Figure 1].
Computed tomography scan showing spina bifida with the presence of trumpet like out-pouching of spinal contents
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F2
Computed tomography and magnetic resonance imaging (MRI) revealed a giant terminal lipomyelocystocele [Figures 2 and 3] which contained a trumpet like flaring of the central canal of the distal spinal cord and a meningocele located around the dilated central canal, which bulged into the subcutaneous region along with subcutaneous fat tissue.
Magnetic resonance imaging T2 weighted sagittal section confirming the presence of terminal myelocystocoele
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F3
Computed tomography and magnetic resonance imaging (MRI) revealed a giant terminal lipomyelocystocele [Figures 2 and 3] which contained a trumpet like flaring of the central canal of the distal spinal cord and a meningocele located around the dilated central canal, which bulged into the subcutaneous region along with subcutaneous fat tissue.
Microscopic picture showing meningeal lining, adipose tissue and few wavy nerve fibers
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F4
Histopathology confirmed the findings of meningeal tissue with adipose and few wavy nerve fibers [Figure 4].