case_images: PMC3680900_01
case_images: 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)
case_images: JPN-8-55-g001.jpg
case_images: PMC3680900_01_JPN-8-55-g001.jpg
case_images: F1
case_images: 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].
case_images: X-ray spine revealing lumbosacral bony defect along with right gluteal soft tissue shadow
case_images: JPN-8-55-g002.jpg
case_images: PMC3680900_01_JPN-8-55-g002.jpg
case_images: F2
case_images: Lumbosacral bony defect was evident in X-ray spine [Figure 2].
case_images: 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)
case_images: JPN-8-55-g003.jpg
case_images: PMC3680900_01_JPN-8-55-g003.jpg
case_images: F3
case_images: 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].
case_images: Magnetic resonance imaging showing incidental finding of bilateral hydronephrosis
case_images: JPN-8-55-g004.jpg
case_images: PMC3680900_01_JPN-8-55-g004.jpg
case_images: F4
case_images: Incidental finding was bilateral hydronephrosis [Figure 4].
case_images: PMC3680900_02
case_images: Magnetic resonance image of spine sagittal view showing T1 and T2 hyperintense soft tissue mass pulling the cord up to S1 level
case_images: JPN-8-55-g005.jpg
case_images: PMC3680900_02_JPN-8-55-g005.jpg
case_images: F5
case_images: Low lying conus and sacral lipomyelomeningocele causing cord tethering was encountered in the MRI of the lumbosacral spine [Figure 5].