Fig. 5

a-d: Dysmorphic sacrum with imperforate anus and presacral cystic mass: Frontal abdominal radiograph of a newborn demonstrates absence of bowel gas in the pelvis (a) with a history of no passage of meconium; the patient had ano-rectal atresia. Pelvic radiograph (b) demonstrates an abnormal sacrum. Retrograde cystogram (c) demonstrates an elongated urinary bladder with extrinsic indentations along its posterior aspect, suggesting a pelvic mass. Pelvic ultrasound (d) demonstrates a lobulated cystic pelvic mass; pathology was consistent with teratoma