Loop colostomy to relieve debilitating chronic constipation in spina bifida patients: a case report

Survival to adulthood in spina bifida has greatly increased with the advent of modern therapies. With this prolonging of life expectancy, patients are exposed to the risk of adult onset malignancies and the complications of subsequent treatment. We present the case of a 66-year-old woman born with a terminal lipomyelomeningocele, presenting with new fecal incontinence and a desire to undivert her ileal conduit. The deterioration was attributed to chemotherapy for breast cancer. We highlight the urologic challenges of breast cancer management in the neurogenic bowel population, as well as the utility of an adult spina bifida clinic. To the best of our knowledge, this is the first case report of a spina bifida patient presenting with fecal and urinary complications from breast cancer chemotherapy.

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Late-onset tethered cord syndrome in a patient with spina bifida: a case report

SiSli Etfal Hastanesi Tip Bulteni / The Medical Bulletin of Sisli Hospital ◽

10.5350/semb.20170123114625 ◽

2017 ◽

Author(s):

Mehmet Ağırman ◽

Merve Çalkın ◽

Fatma Zeynep Güngören ◽

Oğuz Durmuş

Keyword(s):

Case Report ◽

Spina Bifida ◽

Late Onset ◽

Tethered Cord ◽

Tethered Cord Syndrome

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LUMBOSACRAL TRANSITIONAL VERTEBRA ASSOCIATED WITH SACRAL SPINA BIFIDA OCCULTA: A CASE REPORT

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2014.21 ◽

2013 ◽

Vol 56 (3) ◽

pp. 126-129

Author(s):

George Paraskevas ◽

Maria Tzika ◽

Panagiotis Kitsoulis

Keyword(s):

Case Report ◽

Spina Bifida ◽

Lumbar Vertebra ◽

Spina Bifida Occulta ◽

Sacral Vertebra ◽

Transitional Vertebra ◽

Fifth Lumbar Vertebra ◽

Lumbosacral Transitional Vertebra ◽

Incomplete Closure ◽

Lumbosacral Transitional Vertebrae

Congenital malformations such as lumbosacral transitional vertebrae and spina bifida occulta constitute unrare anomalies and could affect the symptomatology of low back pain. A transitional vertebra is characterized by elongation of one or both transverse processes, leading to the appearance of a sacralized fifth lumbar vertebra or a lumbarized first sacral vertebra. Furthermore, sacral spina bifida occulta is a developmental anomaly that corresponds to the incomplete closure of the vertebral column. In the present case report, we describe a case of a dried sacrum presenting a partially sacralized fifth lumbar vertebra and total spina bifida, extended from first to fifth sacral vertebra. A pseudoarthrosis is formed on the left side and the specimen could be incorporated in Castellvi’s type IIa. Moreover, the incidence, morphology, clinical and surgical significance of these spinal malformations are discussed.

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Wound Management of a Pediatric Spina Bifida Patient Secondary to a Canine-Inflicted Fifth-Digit Amputation: A Case Report

Journal of the American Podiatric Medical Association ◽

10.7547/17-151 ◽

2021 ◽

Vol 111 (3) ◽

Author(s):

Brittany A. Lovett ◽

Cristóbal S. Berry-Cabán ◽

Deanna E. Duran ◽

Sharon P. McKiernan

Keyword(s):

Emergency Department ◽

Case Report ◽

Spina Bifida ◽

Human Infection ◽

Further Education ◽

Wound Management ◽

Treatment Facility ◽

Medical Treatment Facility ◽

The Family ◽

History Of

We present a case of a pediatric patient with a history of spina bifida who presented to the emergency department of a large Army medical treatment facility with a partially amputated right fifth digit she sustained while sleeping with the family canine. There are several reports in the popular press that suggest that an animal, particularly a dog, can detect human infection, and it is hypothesized that the toe chewing was triggered by a wound infection. This case provides an opportunity to provide further education in caring for foot wounds in patients with spina bifida.

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