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# Case Report  A 82-year-old woman with a history of lumbar and low abdominal pain for several years, years. She  was treated by the general practitioner without improvement of symptomatology. After several months she was referred to the general surgeon  with a diagnosis of inguinal hernia on the left side to the general surgeon, the side. The  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 requestedboth  an abdominal ultrasound scan, which showed a large cystic collection on the pelvic area consistent with a giant ovarian cyst, cyst  and an AP &L  lumbar X-rays which confirmedthe presence of  a severe scoliotic deformity between L2 and S1, with a right sided curvature and over 45 degreesmeasured with the cobb  angle. The patient was then referred to the gynecologist who performed an endoscopic approach with puncture of the cyst, during cyst. During  the procedure the content was found to be  similarin characteristics  to the CSF CSF,  raising the suspicion of an anterior sacral meningocele, hence the procedure was stopped immediately and the immediately. The  patient was kept admitted into the hospital for 7 more days where consecutive imaging examinations ruled out and abdominal collection of CSF.