Rectothecal fistula secondary to an anterior sacral meningocele.
A rectothecal fistula secondary to anterior sacral meningocele is an extremely rare disease. To the authors' knowledge, only 2 cases have been reported in the English-language literature. It can cause symptoms by compressing adjacent structures, causing urinary difficulties and constipation. The authors report an unusual case of a patient in whom this condition was diagnosed as an incidental finding. The patient had a sacral myelomeningocele with secondary meningitis to a rectothecal fistula. The authors will briefly review the diagnosis, the various treatments, and the surgical approach to treat this infrequent entity.
Sánchez
Alvaro Arjona
AA
Department of Surgery, Reina Sofia Hospital, Cordoba, Spain. alvaroarjona@hotmail.com
Iglesias
Carlos Diaz
CD
López
Cesar Díaz
CD
Cecilia
David Martínez
DM
Gómez
Jaime Alonso
JA
Barbadillo
Jose Gómez
JG
Peña
Sebastian Rufian
SR
D003248:Constipation / Q000209:etiology; D005402:Fistula / Q000209:etiology*; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000209:etiology; D008588:Meningocele / Q000150:complications*; D008875:Middle Aged; D012003:Rectal Fistula / Q000209:etiology*; D012447:Sacrum / Q000473:pathology*; D013115:Spinal Canal / Q000473:pathology*; D013122:Spinal Diseases / Q000209:etiology*; D014555:Urination Disorders / Q000209:etiology