# Sacral Agenesis Type II in a 12-Year-Old Patient: A Delayed Presentation in a Low-Resource Setting

## TL;DR

A 12-year-old girl with sacral agenesis, born to a diabetic mother, faced lifelong mobility and urinary issues due to delayed diagnosis in a low-resource setting.

## Contribution

Highlights the challenges of managing congenital disorders in low-resource settings and the impact of delayed diagnosis.

## Key findings

- Patient had lifelong lower limb weakness and urinary incontinence due to sacral agenesis Type II.
- Maternal diabetes is a known risk factor for the condition.
- Financial constraints hindered further management and treatment.

## Abstract

Sacral agenesis is a rare congenital anomaly with varying severity, from partial sacral hypoplasia to complete absence of the sacrum and coccyx. Often linked to maternal diabetes, it can cause significant neuromuscular and genitourinary complications. We present a 12-year-old female patient from a low-resource setting with lifelong lower limb weakness and urinary incontinence, born to a diabetic mother and diagnosed with sacral agenesis Type II. Financial constraints limited further management. This case highlights the challenges of delayed diagnosis and treatment, underscoring the need for improved healthcare access to ensure timely intervention for congenital disorders, particularly in underserved populations.