{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:02:26Z","timestamp":1787025746061,"version":"build-2736575974"},"reference-count":27,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:p>Anterior sacral meningoceles (ASMs) are rare defects in the sacrum with thecal sac herniations and symptoms that commonly include constipation, dysmenorrhea, and urinary disturbances. An ASM causing hydronephrosis and acute renal failure from compression of the lower portion of the urinary tract is a rare clinical entity. Only one other case has been reported. The authors present the case of a 37-year-old man admitted for obstructive renal failure and hydronephrosis due to a giant ASM that measured 25 \u00d7 12 \u00d7 18 cm and compressed the ureters and bladder. The ASM was successfully treated via an anterior transabdominal approach in which the authors used a novel technique for watertight closure of the meningocele pedicle with an endoscopic cutting stapler. The authors review the literature and discuss the surgical options for the treatment of ASMs, specifically the management of ASMs in the context of obstructive renal failure and hydronephrosis.<\/jats:p>","DOI":"10.3171\/2015.8.spine15129","type":"journal-article","created":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T10:02:59Z","timestamp":1452247379000},"page":"862-866","source":"Crossref","is-referenced-by-count":14,"title":["Successful management of a giant anterior sacral meningocele with an endoscopic cutting stapler: case report"],"prefix":"10.3171","volume":"24","author":[{"given":"Tarek P.","family":"Sunna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harrison J.","family":"Westwick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahed","family":"Zairi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilyes","family":"Berania","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Shedid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-spine15129","series-title":"Surg Gynecol Obstet","first-page":"986","article-title":"Anterior sacral meningocele","volume":"126","author":"Amacher","year":"1968"},{"key":"b2-spine15129","series-title":"Surg Neurol","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.surneu.2005.10.020","article-title":"Resection of a giant anterior sacral meningocele via an anterior approach: case report and review of literature","volume":"66","author":"Ashley","year":"2006"},{"key":"b3-spine15129","series-title":"J Craniofac Surg","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1097\/SCS.0b013e318175f50b","article-title":"Dural repair with grafts using the gastrointestinal anastomosis stapler","volume":"19","author":"Banks","year":"2008"},{"key":"b4-spine15129","series-title":"Br J Surg","first-page":"732","article-title":"Anterior sacral meningocele causing urinary retention","volume":"50","author":"Barlow","year":"1963"},{"key":"b5-spine15129","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"E1464","DOI":"10.1227\/NEU.0b013e3181f352ba","article-title":"A 40-year-old woman with cauda equina syndrome caused by rectothecal fistula arising from an anterior sacral meningocele","volume":"67","author":"Bergeron","year":"2010"},{"key":"b6-spine15129","series-title":"Case Rep Radiol","first-page":"842620","article-title":"An asymptomatic large anterior sacral meningocele in a patient with a history of gestation: a case report with radiological findings","volume":"2013","author":"Beyazal","year":"2013"},{"key":"b7-spine15129","series-title":"Urology","doi-asserted-by":"publisher","first-page":"e9","DOI":"10.1016\/j.urology.2012.11.015","article-title":"Huge anterior sacral meningocele simulating bladder retention","volume":"81","author":"Castelli","year":"2013"},{"key":"b8-spine15129","series-title":"J Urol","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/S0022-5347(17)61292-8","article-title":"Anterior sacral meningocele as a cause of urinary retention","volume":"106","author":"Chovnick","year":"1971"},{"key":"b9-spine15129","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"384","DOI":"10.3171\/2013.6.SPINE12956","article-title":"Anterior sacral pseudomeningocele following minimal trauma: case report","volume":"19","author":"Cools","year":"2013"},{"key":"b10-spine15129","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"395","DOI":"10.2214\/ajr.137.2.395","article-title":"Triad of anorectal, sacral, and presacral anomalies","volume":"137","author":"Currarino","year":"1981"},{"key":"b11-spine15129","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"548","DOI":"10.3171\/jns.1980.53.4.0548","article-title":"Anterior sacral meningocele. 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