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Related Experiment Videos

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
PubMed
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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:

Related Experiment Videos

  • 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.