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Vol. 49. Issue 1.
Pages 43-46 (January 2007)
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Vol. 49. Issue 1.
Pages 43-46 (January 2007)
Ureterohidronefrosis severa asociada a meningocele sacro anterior gigante asintomático: presentación de un caso y revisión de la literatura
Severe hydroureteronephrosis associated to asymptomatic giant anterior sacral meningocele: a case report and review of the literature
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JM. Santanaa, A. Gómezb, P. Alemána, MM. Traviesoc
a Servicio de Radiodiagnóstico. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria. Las Palmas. España.
b Medicina de Familia. Centro de Salud de San Gregorio. Telde. Las Palmas. España.
c Servicio de Radiodiagnóstico. Clínica San Roque. Las Palmas de Gran Canaria. Las Palmas. España.
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El caso que presentamos es el de una mujer con síndrome de Marfan, a la que tras acudir a su médico por un cuadro de gastroenteritis aguda se le diagnosticó casualmente una ureterohidronefrosis bilateral severa asociada a una vejiga neurógena y a un meningocele sacro anterior gigante. La importancia de este caso radica en que la paciente estaba asintomática, a pesar de las importantes repercusiones viscerales que ya se habían producido, lo que plantea si sería aconsejable el seguimiento de estos pacientes mediante resonancia magnética (RM) aun en ausencia de síntomas.
Palabras clave:
meningocele sacro anterior, vejiga neurógena, ureterohidronefrosis
We present the case of a woman with Marfan's syndrome presenting with a clinical picture of acute gastroenteritis in whom severe bilateral hydroureteronephrosis associated to a neurogenic bladder and a giant anterior sacral meningocele was diagnosed incidentally. The importance of this case lies in the fact that the patient was asymptomatic despite the significant visceral repercussions already occurring that led to questioning of whether MRI follow-up would still be advisable even in the absence of symptoms.
Keywords:
anterior sacral meningocele, neurogenic bladder, hydroureteronephrosis

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