An out-pouching of dura containing CSF may occur through a defect in the body of the sacrum (anterior spina bifida). This may be an isolated defect or may be in association with a more severe developmental abnormality of the whole caudal region of the embryo, as in caudal agenesis, where abnormalities of the genitourinary tract, rectum and anus may also occur in association with sacral agenesis. Presumably, the defect in the bone is the primary abnormality and, with the pressure of CSF, the meningocele gradually enlarges. The meningocele may contain sacral nerve roots. As the meningocele enlarges into the pelvis or retroperitoneal space, it produces symptoms of compression of the pelvic organs, including constipation, urinary frequency and abdominal or pelvic pain, as well as low back pain. Anterior sacral meningoceles are more common in females and may present as an incidental mass identified on pelvic examination or ultrasound. The diagnosis is
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Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.