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ARTICLE IN PRESSG ModelONSOI-3979; No. of Pages 1

Joint Bone Spine xxx (2014) xxx–xxx

Available online at

www.sciencedirect.com

mages in rheumatology

recto-dural fistula

émi Bertinchampa, Pierre-Marie Girarda, Julien Cazejustb, Najim Chafai c, Laure Surgersa,∗

Service des maladies infectieuses et tropicales, université Paris VI - Pierre-et-Marie-Curie, hôpital Saint-Antoine, Assistance publique–Hôpitaux de Paris, 184,ue du Faubourg-Saint-Antoine, 75012 Paris, FranceService de radiologie, université Paris VI - Pierre-et-Marie-Curie, hôpital Saint-Antoine, Assistance publique–Hôpitaux de Paris, 184, rue du Faubourg-Saint-Antoine,5012 Paris, FranceService de chirurgie générale et digestive, université Paris VI - Pierre-et-Marie-Curie, hôpital Saint-Antoine, Assistance publique–Hôpitaux de Paris, 184,ue du Faubourg-Saint-Antoine, 75012 Paris, France

Fig. 1.

A 66-year-old woman was admitted for suspected spondy-odiscitis. An ablation of a villous tumor with sigmoid resectionnd colo-anal anastomosis was performed in 1996 and, compli-ated with chronic diarrhea. She was admitted in November 2012ecause of severe back pain with thigh irradiation enhanced bytool and gas. C-reactive protein was at 184 mg/L and 19 900eucocytes/mm3, suggesting inflammatory syndrome. CT scan and

Please cite this article in press as: Bertinchamp R, et al. A recto-dural fi

RI showed abscesses in the rectum, air in the epidural space, and subcutaneous paralombar abscess. She was initially treated withazocillin and metronidazol for 3 months, and then switched toevofloxacin. After 7 days, the subcutaneous abscess was drained

∗ Corresponding author. Tel.: +33 1 71 97 01 19; fax: +33 1 49 28 21 49.E-mail address: laure.surgers@sat.aphp.fr (L. Surgers).

297-319X/$ – see front matter © 2014 Société franc aise de rhumatologie. Published by Eoi:10.1016/j.jbspin.2014.01.011

Fig. 2.

percutaneously. A rectosigmoidoscopy revealed a necrotic cesspoolnear the anastomosis, which was then surgically removed with atransitory ileo-colostomy. The restoration of continuity was sched-uled 3 months after, at which time the patient had been completelyhealed.

stula. Joint Bone Spine (2014), doi:10.1016/j.jbspin.2014.01.011

Disclosure of interest

The authors declare that they have no conflicts of interest con-cerning this article.

lsevier Masson SAS. All rights reserved.