title: Presacral neuroenteric fistula presenting with meningitis and vaginal fistula: a case report.
abstract: Neuroenteric fistulas are rare congenital malformations arising from a persistent connection between the embryonic neural and intestinal tissues; they are extremely rare in the lumbosacral area. Neuroenteric fistulas should be suspected whenever children present with anaerobic meningitis in the absence of brain abscesses or respiratory infections. This patient is the first patient who presented with a presacral cyst that separately connected to the nervous system and the vagina. It is thought that the rape of this 12-year-old patient resulted in soilage of the spinal fluid through dual fistulae, causing anaerobic meningitis without an abscess.
authors.affiliation: Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: M M
authors.initials: MM
authors.lastname: Durham
authors.forename: A A
authors.initials: AA
authors.lastname: Chahine
authors.forename: R R
authors.initials: RR
authors.lastname: Ricketts
mesh_terms: D002648:Child; D003560:Cysts / Q000175:diagnosis; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008581:Meningitis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014624:Vaginal Fistula / Q000209:etiology*