A rare case of CSF proctorrhoea due to anterior sacral meningocele with rectothecal fistula.

A rare case of CSF proctorrhoea due to anterior sacral meningocele with rectothecal fistula.

World Neurosurg. 2018 Mar 20;:

Authors: Mankotia DS, Sawarkar DP, Singh PK, Kumar A, Verma SK, Chandra PS, Kale SS

Abstract
BACKGROUND: Anterior sacral (ASM) leading to secondary rectothecal fistula is extremely rare and till date only five such cases have been described in world literature.
CASE DESCRIPTION: Authors describe an uncomplicated case of 52 year old female patient presenting with CSF leak from anus who was investigated and found to have a ASM with rectothecal fistula. ASM and rectothecal fistula was subsequently repaired using posterior approach. Pertinent literature review, clinical findings, neuroimaging and surgical management are described for these rare lesions.
CONCLUSION: Early diagnosis and surgical disconnection of the fistulous tract led to satisfactory outcome in the present case and avoided the catastrophic complication of meningitis.

PMID: 29572171 [PubMed - as supplied by publisher]

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