Post-traumatic recto-spinal fistula |
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Authors: | L Lantsberg L Laufer G Greenberg Y Hertzanu |
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Institution: | (1) Department of Surgery A, Soroka University Medical Center, P. O. Box 151, IL-84101 Beer-Sheva, Israel, IL;(2) Department of Diagnostic Radiology, Soroka University Medical Center, P. O. Box 151, IL-84101 Beer-Sheva, Israel, IL |
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Abstract: | Acquired recto-spinal fistula has been described elsewhere as a rare complication of colorectal malignancy and Crohn's enterocolitis.
We treated a young man who developed a recto-spinal fistula as a result of a high fall injury. The patient presented with
meningeal signs, sepsis and perianal laceration. Computerized axial tomography revealed air in the supersellar cistern. Gastrografin
enema showed that contrast material was leaking from the rectum into the spinal canal. Surgical management included a diverting
sigmoid colostomy, sacral bone curettage and wide presacral drainage. To the best of our knowledge, rectospinal fistula of
traumatic origin has not been previously reported in the English literature.
Received: 7 December 1998; Revised: 10 May 1999; Accepted: 10 May 1999 |
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Keywords: | : Rectum – Spinal canal – Fistula – Trauma |
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