Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele
Introduction: Meningitis secondary to rectothecal fistula is an exceptionally rare phenomena which has previously been reported exclusively in the setting of Currarino Syndrome for the pediatric population. Case presentation: We describe the case of a neonate presenting with polymicrobial meningitis...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576622001701 |
| _version_ | 1811315334883311616 |
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| author | Kaitlin Larson Juan Pablo Gurria Jennifer S. Ronecker Rachael Stottlemyre David M. Notrica |
| author_facet | Kaitlin Larson Juan Pablo Gurria Jennifer S. Ronecker Rachael Stottlemyre David M. Notrica |
| author_sort | Kaitlin Larson |
| collection | DOAJ |
| description | Introduction: Meningitis secondary to rectothecal fistula is an exceptionally rare phenomena which has previously been reported exclusively in the setting of Currarino Syndrome for the pediatric population. Case presentation: We describe the case of a neonate presenting with polymicrobial meningitis due to rectothecal communication via congenital anterior sacral meningocele in the absence of an anorectal malformation. The authors opted for expeditious surgical resection of the fistulous tract and closure of the thecal sac using a posterior sagittal approach to the presacral space. The patient completed a course of intravenous antibiotics postoperatively. Discussion: This case highlights the first reported neonatal case of rectothecal fistula in the absence of an anorectal anomaly. The surgical approach is described. |
| first_indexed | 2024-04-13T11:28:22Z |
| format | Article |
| id | doaj.art-2f319b38cbad4cc4b73c04acfc15cbc7 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-13T11:28:22Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-2f319b38cbad4cc4b73c04acfc15cbc72022-12-22T02:48:37ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662022-09-0184102343Meningitis secondary to rectothecal fistula associated with congenital anterior meningoceleKaitlin Larson0Juan Pablo Gurria1Jennifer S. Ronecker2Rachael Stottlemyre3David M. Notrica4Division of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, Arizona, USA; General Surgery Residency, Abrazo Arrowhead Hospital, Glendale, Arizona, USADivision of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, Arizona, USA; Department of Surgery, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USADivision of Pediatric Neurosurgery, Phoenix Children's Hospital, Phoenix, Arizona, USA; Department of Child Health and Surgery, University of Arizona College of Medicine Phoenix, Phoenix, Arizona, USA; Department of Neurosurgery, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USAUniversity of Miami Miller School of Medicine, Miami, FL, USADivision of Pediatric Surgery, Phoenix Children's Hospital, Phoenix, Arizona, USA; Department of Surgery, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USA; Department of Child Health and Surgery, University of Arizona College of Medicine Phoenix, Phoenix, Arizona, USA; Corresponding author. Division of Pediatric Surgery, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, 85006, AZ, USA.Introduction: Meningitis secondary to rectothecal fistula is an exceptionally rare phenomena which has previously been reported exclusively in the setting of Currarino Syndrome for the pediatric population. Case presentation: We describe the case of a neonate presenting with polymicrobial meningitis due to rectothecal communication via congenital anterior sacral meningocele in the absence of an anorectal malformation. The authors opted for expeditious surgical resection of the fistulous tract and closure of the thecal sac using a posterior sagittal approach to the presacral space. The patient completed a course of intravenous antibiotics postoperatively. Discussion: This case highlights the first reported neonatal case of rectothecal fistula in the absence of an anorectal anomaly. The surgical approach is described.http://www.sciencedirect.com/science/article/pii/S2213576622001701Rectothecal fistulaPolymicrobial meningitisAnterior sacral meningocele |
| spellingShingle | Kaitlin Larson Juan Pablo Gurria Jennifer S. Ronecker Rachael Stottlemyre David M. Notrica Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele Journal of Pediatric Surgery Case Reports Rectothecal fistula Polymicrobial meningitis Anterior sacral meningocele |
| title | Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele |
| title_full | Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele |
| title_fullStr | Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele |
| title_full_unstemmed | Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele |
| title_short | Meningitis secondary to rectothecal fistula associated with congenital anterior meningocele |
| title_sort | meningitis secondary to rectothecal fistula associated with congenital anterior meningocele |
| topic | Rectothecal fistula Polymicrobial meningitis Anterior sacral meningocele |
| url | http://www.sciencedirect.com/science/article/pii/S2213576622001701 |
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