| A 40-year-old woman with cauda equina syndrome caused by rectothecal fistula arising from an anterior sacral meningocele. | |
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MedLine Citation:
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PMID: 20871432 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND IMPORTANCE: We present a rare case of a rectothecal fistula arising from an anterior sacral meningocele in a patient with Currarino syndrome. CLINICAL PRESENTATION: The patient was a 40-year-old woman presenting with cauda equina syndrome and ascending meningitis. The meningocele was removed using an anterior abdominal approach. A sigmoid resection was performed with rectal on-table antegrade lavage followed by closure of the rectal fistula, closure of the rectal stump, and proximal colostomy. Closure of the sacral deficit was carried out by suturing a strip of well-vascularized omentum and fibrin glue. CONCLUSION: We discuss the characteristics, management, and evolution of this unusual case. Prompt surgical management using an anterior approach, resection of the sac, closure of the sacral deficit, and fecal diversion resulted in a satisfactory outcome. |
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Authors:
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Eric Bergeron; Alain Roux; Jacques Demers; Laurent E Vanier; Lynne Moore |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 67 ISSN: 1524-4040 ISO Abbreviation: Neurosurgery Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-15 Completed Date: 2011-06-17 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: United States |
Other Details:
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Languages: eng Pagination: E1464-7; discussion E1467-8 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Charles LeMoyne Hospital, Canada Greenfield Park, Quebec, Canada. erb_taz2001@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Meningocele / complications*, surgery* Middle Aged Polyradiculopathy / etiology*, surgery* Rectal Fistula / complications*, surgery* Rectum Sacrum / abnormalities*, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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