deletions | additions       diff --git a/abstract.md b/abstract.md  index fc94708..0732003 100644  --- a/abstract.md  +++ b/abstract.md 
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Background: An anterior Anterior  sacral meningocele is a meningoceles are  rare form forms  of spinal dysraphism that is sometimes associated with syndromes such as Currarino and Marfan syndromes. produced by herniation of the thecal sac through a bone defect in the anterior sacral wall.  These lesions rarely cause neurological complications, butmeningitis, sepsis,  obstetric problems, and bowel and bladder difficulties are common secondary conditions.The lesions can even be fatal.  Because these lesions usually do not regress spontaneously, surgical treatment is the standard for symptomatic or growing masses. The dural defect can be repaired with a variety of anterior or posterior approaches.Case Description:  We present a the  case of a 16-year-old 82-year-old  female patient with a giantnonsyndromic  anterior sacral meningocele that we was initially confused with various entities such as inguinal hernia and an ovarian cyst, that once diagnosed was  successfully treated using an open anterior a posterior  approach. We discuss the treatment options and present a brief review of the literature.Conclusions: Although the posterior approach remains the treatment of choice for most lesions, we believe that the anterior laparotomy provides excellent exposure and is a safe alternative approach for the treatment of selected lesions. Patients with these lesions should be cared for by a multidisciplinary team.  ***Keywords:*** _Meningocele, anterior, sacral, neurosurgery._