CASE OF THE MONTH

2000

ANSWER

FOR SEP


Fig 1

Figure 1

Fig 3

Figure 3

Fig 2

Figure 2

Figure 1&2 MR shows the absence of sacral spine below the level of S1. There is a tethered spinal cord with low-lying conus and a filum extending into a terminal intradural lipoma.

Figure 3 MCU shows a deformed bladder with "Christmas tree" configuration and urachal diverticulum. There is vesicoureteric reflux on the right.

DIAGNOSIS :

Sacrococcygeal agenesis (Caudal Regression Syndrome) with tethered cord and neurogenic bladder.

HISTORY

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