Anaerobic meningitis secondary to a rectothecal fistula arising from an anterior sacral meningocele: report of a case and review of the literature.
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.
Phillips
Joshua T
JT
Department of Colorectal Surgery, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, 98 Sackville Road, Crookes, Sheffield, United Kingdom. J.Phillips@sheffield.ac.uk
Brown
Steven R
SR
Mitchell
Patrick
P
Shorthouse
Andrew J
AJ
D005402:Fistula / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008582:Meningitis, Aseptic / Q000209:etiology*; D008588:Meningocele; D008875:Middle Aged; D012003:Rectal Fistula / Q000150:complications* / Q000601:surgery; D012447:Sacrum / Q000002:abnormalities*; D013115:Spinal Canal / Q000002:abnormalities*