case_images: PMC10880581_01
case_images: Preoperative abdominal CT scan.. Sagittal (A) and coronal (B) imaging of the left S1 meningocele (11 x 5 x 5 cm), sagittal (C) and coronal (D) imaging of the right S1 meningocele (12 x 15 x 16 cm), sagittal (E) and coronal (F) imaging of the left S2 (10 x 11 x 8 cm), and sagittal imaging of the right S2 meningocele (G) (3.7 x 3.5 x 3.2 cm). Meningoceles described are outlined with white arrows.
case_images: cureus-0016-00000052724-i01.jpg
case_images: PMC10880581_01_cureus-0016-00000052724-i01.jpg
case_images: FIG1
case_images: It showed that the four meningoceles had grown significantly (Figure 1). They now caused severe bladder compression and shifted the right ureter and the rectum forward (Figure 1).
case_images: Illustration of the meningoceles with relevant surrounding anatomical structures.
case_images: cureus-0016-00000052724-i02.jpg
case_images: PMC10880581_01_cureus-0016-00000052724-i02.jpg
case_images: FIG2
case_images: With the assistance of a colorectal surgeon, an anterior transperitoneal approach was used (Figure 2).
case_images: Illustration of the closure of the remaining dura mater in a so-called "paletot trend."
case_images: cureus-0016-00000052724-i03.jpg
case_images: PMC10880581_01_cureus-0016-00000052724-i03.jpg
case_images: FIG3
case_images: The wall was addressed to the pathology department and the remaining dura mater was sutured in a paletot trend (Figure 3).
case_images: Postoperative abdominal CT.. Sagittal (A) and axial (B) images focusing on the right upper sacral meningocele, and sagittal (C) and axial (D) images focusing on the left lower meningocele.
case_images: cureus-0016-00000052724-i04.jpg
case_images: PMC10880581_01_cureus-0016-00000052724-i04.jpg
case_images: FIG4
case_images: That same day, the nasogastric tube and the bladder catheter were withdrawn. The control CT showed a successful resection of the right S1 meningocele and a significant regression of the left S2 meningocele (Figure 4).