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# Case Report  A 82-year-old woman with a history of lumbar, lumbar and  low abdominal painand constipation  was refered, from the general practituioner, refered  with a diagnosis of inguinal hernia on the left side to the general surgeon, the pacient patient  underwent surgery and the inguinal hernia was repaired, however there was no improvement over a period of six months. Following her insistent complains, the physician requested both an abdominal ultrasound scan, which showed a large cystic collection on the pelvic area consistent with a giant ovarian cyst, and lumbar X-rays which  confirmed the presence of a severe scoliotic deformity between L2 and S1, with a right sided curvature and over 45 degrees measured with the cobb angle. The patient was then refered to the gynecologist who performed an endoscopic approach with puncture of the cyst, the content was similar in characteristics to the CSF raising the suspicion of an anterior sacral meningocele, hence the procedure was stopped inmediately and the patient was kept admitted into the hospital for 7 more days where consecutive imaging examinations ruled out and abdominal collection of CSF. The patient was the refered to the neurosurgeon who performed a full