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Post-traumatic recto-spinal fistula
L Lantsberg1, L Laufer, G Greenberg
1Department of Surgery A, Soroka University Medical Center, P. O. Box 151, IL-84101 Beer-Sheva, Israel.
European Radiology
|February 9, 2000
Summary
A rare traumatic rectospinal fistula, resulting from a fall, presented with sepsis and neurological signs. Surgical intervention included colostomy and spinal canal drainage, marking a novel case report.
Area of Science:
- Trauma Surgery
- Colorectal Surgery
- Neurosurgery
Background:
- Rectospinal fistulas are rare, typically linked to colorectal malignancy or Crohn's disease.
- Traumatic rectospinal fistulas are not documented in existing English literature.
Observation:
- A young male patient presented with meningeal signs, sepsis, and perianal laceration post-fall.
- CT scans showed intracranial air, and a Gastrografin enema revealed rectal contrast leakage into the spinal canal.
Findings:
- The patient developed a rectospinal fistula secondary to a high-impact fall injury.
- Successful surgical management involved a sigmoid colostomy, sacral bone curettage, and presacral drainage.
Implications:
- This case highlights traumatic rectospinal fistula as a distinct etiology.
- It underscores the importance of considering trauma in the differential diagnosis of rectospinal fistulas.
- The reported surgical approach offers a potential management strategy for similar rare injuries.