Enterothecal fistula as a rare cause of adult pneumocephalus and meningitis: a case report.

ABSTRACT:

Background

Enterothecal fistulas are pathological connections between the gastrointestinal system and subarachnoid space. These rare fistulas occur mostly in pediatric patients with sacral developmental anomalies. They have yet to be characterized in an adult born without congenital developmental anomaly yet must remain on the differential diagnosis when all other causes of meningitis and pneumocephalus have been ruled out. Good outcomes rely on aggressive multidisciplinary medical and surgical care, which are reviewed in this manuscript.

Case description

A 25-year-old female with history of a sacral giant cell tumor resected via anterior transperitoneal approach followed by posterior L4-pelvis fusion presented with headaches and altered mental status. Imaging revealed that

SUBMITTER: Wang TY 

PROVIDER: S-EPMC10331501 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature