{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T09:03:25Z","timestamp":1787907805589,"version":"build-2784847793"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T00:00:00Z","timestamp":1768089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012681","name":"Universit\u00e4tsklinikum K\u00f6ln","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Gynecol Obstet"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This report describes a 32-year-old primigravida diagnosed with bilateral anterior sacral meningoceles without bony defect of the sacrum during pregnancy. The patient remained asymptomatic throughout the pregnancy, with regular monitoring via transvaginal ultrasound and MRI. An elective cesarean section was planned at 38\u00a0weeks. However, the patient presented in obstructed labor at 42\u00a0weeks and underwent an emergency cesarean section, resulting in the birth of a healthy infant. This case is unique as it involves bilateral anterior meningoceles without sacral anomalies. Anterior sacral meningoceles are rare findings in pregnancy. Anterior sacral meningoceles are either congenital with bony defect of the sacrum or acquired lesions due to connective tissue disorders characterized by the herniation of the meninges through the sacral foramina. In pregnancy, these lesions pose unique challenges due to potential complications such as rupture, infection, or obstructed labor. Management strategies vary, and individualized approaches with close monitoring and patient counseling are crucial in determining the appropriate mode and timing of delivery.<\/jats:p>","DOI":"10.1007\/s00404-025-08294-y","type":"journal-article","created":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T07:42:34Z","timestamp":1768117354000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral anterior sacral meningoceles in pregnancy without sacral anomaly: a case report of a rare clinical entity"],"prefix":"10.1007","volume":"313","author":[{"given":"Carla","family":"Oelgeschl\u00e4ger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Berg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Gr\u00fcttner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Groten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. C.","family":"Weber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,11]]},"reference":[{"key":"8294_CR1","first-page":"441","volume":"69","author":"AD Kofinas","year":"1987","unstructured":"Kofinas AD, Hatjis CG, Ernest JM, Parker RL (1987) Anterior sacral meningocele in pregnancy. Obstet Gynecol 69:441\u2013444","journal-title":"Obstet Gynecol"},{"key":"8294_CR2","doi-asserted-by":"publisher","first-page":"162","DOI":"10.3171\/spi.2001.94.1.0162","volume":"94","author":"AS Hanna","year":"2001","unstructured":"Hanna AS, Morandi X (2001) Anterior sacral meningocele in pregnancy. Case report. J Neurosurg 94:162\u2013164. https:\/\/doi.org\/10.3171\/spi.2001.94.1.0162","journal-title":"J Neurosurg"},{"key":"8294_CR3","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1080\/14767050500123616","volume":"17","author":"EV Kontopoulos","year":"2005","unstructured":"Kontopoulos EV, Oyelese Y, Nath C et al (2005) Maternal anterior sacral meningocele in pregnancy. J Matern Fetal Neonatal Med 17:423\u2013425. https:\/\/doi.org\/10.1080\/14767050500123616","journal-title":"J Matern Fetal Neonatal Med"},{"key":"8294_CR4","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1007\/BF03040359","volume":"115","author":"A Nather","year":"2003","unstructured":"Nather A, Lomoschitz F, Leodolter S (2003) Anterior sacral meningocele in pregnancy. Wien Klin Wochenschr 115:398\u2013400. https:\/\/doi.org\/10.1007\/BF03040359","journal-title":"Wien Klin Wochenschr"},{"key":"8294_CR5","doi-asserted-by":"publisher","first-page":"893","DOI":"10.1002\/uog.4061","volume":"30","author":"F Manson","year":"2007","unstructured":"Manson F, Comalli-Dillon K, Moriaux A (2007) Anterior sacral meningocele: management in gynecological practice. Ultrasound Obstet Gynecol 30:893\u2013896. https:\/\/doi.org\/10.1002\/uog.4061","journal-title":"Ultrasound Obstet Gynecol"},{"key":"8294_CR6","doi-asserted-by":"publisher","DOI":"10.4103\/2156-7514.106613","volume":"3","author":"BEP Kumar","year":"2013","unstructured":"Kumar BEP, Hegde KV, Kumari GL, Agrawal A (2013) Bilateral multiple level lateral meningocoele. J Clin Imaging Sci 3:1. https:\/\/doi.org\/10.4103\/2156-7514.106613","journal-title":"J Clin Imaging Sci"},{"key":"8294_CR7","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1097\/00007611-197004000-00022","volume":"63","author":"LH Johnson","year":"1970","unstructured":"Johnson LH (1970) Pregnancy associated with an anterior sacral meningocele: case report. South Med J 63:432\u2013434. https:\/\/doi.org\/10.1097\/00007611-197004000-00022","journal-title":"South Med J"},{"key":"8294_CR8","first-page":"230","volume":"1","author":"FS Haddad","year":"1958","unstructured":"Haddad FS (1958) Anterior sacral meningocele; report of two cases and review of the literature. Can J Surg J Can Chir 1:230\u2013242","journal-title":"Can J Surg J Can Chir"}],"container-title":["Archives of Gynecology and Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-025-08294-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00404-025-08294-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00404-025-08294-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,11]],"date-time":"2026-01-11T21:09:26Z","timestamp":1768165766000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00404-025-08294-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,11]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["8294"],"URL":"https:\/\/doi.org\/10.1007\/s00404-025-08294-y","relation":{},"ISSN":["1432-0711"],"issn-type":[{"value":"1432-0711","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,11]]},"assertion":[{"value":"30 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"30"}}