The Rectal Fistula Complicating an L5-S1 Postoperative Spondylodiscitis: A Case Report.
10.4184/jkss.2009.16.3.222
- Author:
Sang Hun LEE
1
;
Eun Min SEO
;
Sung Il CHOI
;
Ki Tack KIM
Author Information
1. Department of Orthopedic Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Spondylodiscitis;
Rectal fistula
- MeSH:
Abscess;
Barium;
Colon;
Discitis;
Diskectomy;
Enema;
Female;
Fistula;
Humans;
Intervertebral Disc;
Rectal Fistula;
Rectum
- From:Journal of Korean Society of Spine Surgery
2009;16(3):222-227
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To our knowledge, there are no reported cases of rectal fistula complicating spondylodiscitis. We report the first case of a rectal fistula communicating with the site of postoperative recurrent spondylodiscitis. A-59-year-old female had recurrent spondylodiscitis after an open discectomy for L5-S1 eight years earlier. She underwent three operations including two anterior lumbar interbody fusion procedures after an open discectomy. Radiographic studies revealed severe bony destruction with abscess collection within the L5-S1 intervertebral disc space with fistula formation into the rectum. The fistula was confirmed by a Barium enema colon study and sigmoidscopy. The patient underwent a staged operation consisting of a rectosigmoid colon resection, anterior interbody fusion and posterior instrumented fusion. Rectum related complications were suspected in this case of recurrent spondylodiscitis.
