Background: Anterior sacral meningocele (ASM) is a rare congenital anomaly. It is characterized by herniation of the dura through a defect in the anterior sacrum. Rarely, however, it may extend to the rectal area through a rectothecal fistula with or without rectorrhea.
Case Description: Here, we present a case of ASM associated with a rectothecal fistula and rectorrhea. Surgical closure of the ostium of the cyst through a posterior approach resulted in long-term improvement.
Conclusion: An ASM with both rectothecal fistula and rectorrhea is extremely rare.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265423 | PMC |
http://dx.doi.org/10.25259/SNI_157_2020 | DOI Listing |
Childs Nerv Syst
April 2024
Department of Neurosurgery, Ankara University, School of Medicine, Ankara, Turkey.
In this case report, we aimed to describe the clinical presentation, surgical approach, and follow-up of a patient with rare anterior meningocele associated with rectothecal fistula. An 17-year-old female patient was admitted to the emergency department with meningitis. On further examinations, an anterior sacral meningocele accompanied by rectothecal fistula was detected.
View Article and Find Full Text PDFAm Surg
July 2021
Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Surg Neurol Int
May 2020
Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, R&D Committee Office, Pars Advanced and Minimally Invasive Medical Manners Research Center, Tehran, Iran, Islamic Republic of Iran.
Background: Anterior sacral meningocele (ASM) is a rare congenital anomaly. It is characterized by herniation of the dura through a defect in the anterior sacrum. Rarely, however, it may extend to the rectal area through a rectothecal fistula with or without rectorrhea.
View Article and Find Full Text PDFRadiol Case Rep
January 2019
Department of Radiology, University of Washington, 1959 NE Pacific St, Seattle, WA 98195, USA.
We present a case of an iatrogenic rectothecal fistula in a 34-year-old man who underwent repair of a congenital anterior sacral meningocele, intraoperatively complicated by rectal perforation. Postoperatively, the patient developed symptoms of meningitis prompting concern for the cerebrospinal fluid leak. Subsequent workup with computed tomography (CT) and magnetic resonance imaging demonstrated a postoperative pseudomeningocele and fistulization with an abdominal fluid collection.
View Article and Find Full Text PDFWorld Neurosurg
June 2018
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.
Background: Anterior sacral meningocele (ASM) leading to secondary rectothecal fistula is extremely rare, and to date only 5 such cases have been described in the world literature.
Case Description: We describe an uncomplicated case of a 52-year-old female patient presenting with cerebrospinal fluid leak from the anus who was investigated and found to have an ASM with rectothecal fistula. The ASM and rectothecal fistula were subsequently repaired using a posterior approach.
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