PRESACRAL NEUROENTERIC FISTULA PRESENTING WITH MENINGITIS AND VAGINALFISTULA - A CASE-REPORT

Neuroenteric fistulas are rare congenital malformations arising from a persistent connection between the embryonic neural and intestinal tis sues; they are extremely rare in the lumbosacral area. Neuroenteric fi stulas should be suspected whenever children present with anaerobic me ningitis in the absence of brain abscesses or respiratory infections. This patient is the first patient who presented with a presacral cyst that separately connected to the nervous system and the vagina. It is thought that the rape of this 12-year-old patient resulted in soilage of the spinal fluid through dual fistulae, causing anaerobic meningiti s without an abscess. Copyright (C) 1998 by W.B. Saunders Company.