Anterior sacral meningocele. Current diagnosis.

One hundred fifty cases of anterior sacral meningocele have been reported in the world literature. This rare pathologic entity was first recognized and described by Bryant in 1837. We report a patient with an incidental anterior sacral meningocele. Our patient is the oldest reported in the literature. The incidental feature of this malformation is uncommon. We review the literature and discuss the clinical aspect, diagnosis, and treatment. Emphasis is placed on the current and optimal method of radiologic evaluation using computed tomography scan combined with metrizamide myelography.