case_images: PMC2827428_01
case_images: Pelvic computer tomography shows a presacral heterogeneous mass composed of cystic component, soft-tissue elements, fatty tissue and calcifications, without evidence of bone destruction (arrows indicate the tumor).
case_images: 1752-1947-4-23-1.jpg
case_images: PMC2827428_01_1752-1947-4-23-1.jpg
case_images: F1
case_images: A computer tomography (CT) scan of the pelvic area showed that the rectum and urinary bladder were displaced anteriorly by a mixed-type mass with soft tissue elements, inhomogeneous fatty tissue and calcifications, extending from the presacral area to below the coccyx (Figure 1).
case_images: Magnetic resonance imaging scans of the axial, coronal and midline saggital areas show a 6 x 5 x 4.5 cm mass of heterogeneous signal intensity, located anterior to the distal sacrum and coccyx (arrows indicate the tumor).
case_images: 1752-1947-4-23-2.jpg
case_images: PMC2827428_01_1752-1947-4-23-2.jpg
case_images: F2
case_images: However, the lesion did not appear to be attached either to the sacrum or to the rectum (Figure 2).
case_images: Intra-operative macroscopic appearance of the tumour, before and after removal (arrows indicate the tumour).
case_images: 1752-1947-4-23-3.jpg
case_images: PMC2827428_01_1752-1947-4-23-3.jpg
case_images: F3
case_images: During laparotomy, a 5 cm mass was found posterior to the rectum and anterior to the sacrum, extending between the anal sphincters (Figure 3).