Anaerobic meningitis secondary to a rectothecal fistula arising from an anterior sacral meningocele: report of a case and review of the literature.

Dis Colon Rectum

Department of Colorectal Surgery, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, 98 Sackville Road, Crookes, Sheffield, United Kingdom.

Published: October 2006

AI Article Synopsis

  • Anterior sacral meningocele is a rare condition where a pouch forms from the spinal canal in the lower back, extending into the area behind the pelvis.
  • It typically features a thin fibrous wall and contains cerebrospinal fluid, sometimes with nearby nerve fibers.
  • The case presented involves a 48-year-old man who developed meningitis as a result of a fistula connecting his rectum to the meningocele.

Article Abstract

An anterior sacral meningocele is a diverticulum of the thecal sac protruding anteriorly from the sacral spinal canal into the extraperitoneal presacral space. It is a rare congenital anomaly comprising of a thin wall of fibrous connective tissue, and containing cerebrospinal fluid and, occasionally, adjacent nerve fibers. We report an unusual case of a 48-year-old male who presented with meningitis secondary to a rectothecal fistula arising from an anterior sacral meningocele.

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http://dx.doi.org/10.1007/s10350-006-0646-7DOI Listing

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