[A pregnant woman with increasing constipation]

Area of Science:

• Neurology
• Obstetrics and Gynecology
• Radiology

Background:

• A 29-year-old patient, gravida 2 para 1, presented during her first trimester of pregnancy.
• She had a recent history suggestive of a retroperitoneal cyst.

Observation:

• The patient reported progressively worsening constipation.
• The constellation of symptoms and prior medical history prompted further investigation.

Findings:

• Magnetic Resonance Imaging (MRI) was utilized for diagnostic analysis.
• The MRI revealed the presence of an anterior sacral meningocele.

Implications:

• This case underscores the importance of considering rare spinal abnormalities in pregnant patients presenting with gastrointestinal symptoms.
• Anterior sacral meningoceles can manifest with varied clinical presentations, including constipation.
• Diagnostic imaging, particularly MRI, is crucial for accurate diagnosis and management planning in such obstetric cases.