Cauda Equina Syndrome Secondary to Complicated Diverticulitis
A 58-year-old woman presented to the emergency department with cauda equina syndrome and sepsis. The symptoms were attributed to a complicated episode of sigmoid diverticulitis. MRI showed that the diverticulitis had caused an intra-abdominal fistula to a presacrally localized abscess expanding into...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2013-10-01
|
| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/355940 |
| _version_ | 1819084241895424000 |
|---|---|
| author | M. ter Horst M.A.W. Stam D.E. Bouman J.M. Klaase |
| author_facet | M. ter Horst M.A.W. Stam D.E. Bouman J.M. Klaase |
| author_sort | M. ter Horst |
| collection | DOAJ |
| description | A 58-year-old woman presented to the emergency department with cauda equina syndrome and sepsis. The symptoms were attributed to a complicated episode of sigmoid diverticulitis. MRI showed that the diverticulitis had caused an intra-abdominal fistula to a presacrally localized abscess expanding into the spinal canal, compressing the cauda equina nerves. Although Hartmann's procedure was performed, the neurological symptoms persisted, causing the patient to remain partially paraplegic. This case report illustrates that cauda equina syndrome is a condition that can also be caused by intra-abdominal pathology such as diverticulitis. |
| first_indexed | 2024-12-21T20:45:20Z |
| format | Article |
| id | doaj.art-33289e60aea14ea1bd9cd989d8cfddfd |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-21T20:45:20Z |
| publishDate | 2013-10-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-33289e60aea14ea1bd9cd989d8cfddfd2022-12-21T18:50:51ZengKarger PublishersCase Reports in Gastroenterology1662-06312013-10-017345546110.1159/000355940355940Cauda Equina Syndrome Secondary to Complicated DiverticulitisM. ter HorstM.A.W. StamD.E. BoumanJ.M. KlaaseA 58-year-old woman presented to the emergency department with cauda equina syndrome and sepsis. The symptoms were attributed to a complicated episode of sigmoid diverticulitis. MRI showed that the diverticulitis had caused an intra-abdominal fistula to a presacrally localized abscess expanding into the spinal canal, compressing the cauda equina nerves. Although Hartmann's procedure was performed, the neurological symptoms persisted, causing the patient to remain partially paraplegic. This case report illustrates that cauda equina syndrome is a condition that can also be caused by intra-abdominal pathology such as diverticulitis.http://www.karger.com/Article/FullText/355940FistulaCauda equina syndromeComplicated diverticulitisColonic diverticulitisSigmoid |
| spellingShingle | M. ter Horst M.A.W. Stam D.E. Bouman J.M. Klaase Cauda Equina Syndrome Secondary to Complicated Diverticulitis Case Reports in Gastroenterology Fistula Cauda equina syndrome Complicated diverticulitis Colonic diverticulitis Sigmoid |
| title | Cauda Equina Syndrome Secondary to Complicated Diverticulitis |
| title_full | Cauda Equina Syndrome Secondary to Complicated Diverticulitis |
| title_fullStr | Cauda Equina Syndrome Secondary to Complicated Diverticulitis |
| title_full_unstemmed | Cauda Equina Syndrome Secondary to Complicated Diverticulitis |
| title_short | Cauda Equina Syndrome Secondary to Complicated Diverticulitis |
| title_sort | cauda equina syndrome secondary to complicated diverticulitis |
| topic | Fistula Cauda equina syndrome Complicated diverticulitis Colonic diverticulitis Sigmoid |
| url | http://www.karger.com/Article/FullText/355940 |
| work_keys_str_mv | AT mterhorst caudaequinasyndromesecondarytocomplicateddiverticulitis AT mawstam caudaequinasyndromesecondarytocomplicateddiverticulitis AT debouman caudaequinasyndromesecondarytocomplicateddiverticulitis AT jmklaase caudaequinasyndromesecondarytocomplicateddiverticulitis |