Abstract
BackgroundPrimary sacral tumors are rare and experience related to accompanying effects of these tumors is therefore limited to observations on a small number of patients.Case presentationIn this case report we present a patient with a history of primary sacral chondrosarcoma, an infection of an implanted spinal stabilization device and discuss the challenges that resulted from a colonic fistula associated with large, life threatening abscesses as late complications of radiotherapy.ConclusionIn patients with sacral tumors enterocutaneous fistulas after free musculotaneous free flaps transfer are rare and can occur in the setting of surgical damage followed by radiotherapy or advanced disease. They are associated with prolonged morbidity and high mortality. Identification of high-risk patients and management of fistulas at an early stage may delay the need for subsequent therapy and decrease morbidity.
Highlights
Primary sacral tumors are rare and experience related to accompanying effects of these tumors is limited to observations on a small number of patients.Case presentation: In this case report we present a patient with a history of primary sacral chondrosarcoma, an infection of an implanted spinal stabilization device and discuss the challenges that resulted from a colonic fistula associated with large, life threatening abscesses as late complications of radiotherapy
In patients with sacral tumors enterocutaneous fistulas after free musculotaneous free flaps transfer are rare and can occur in the setting of surgical damage followed by radiotherapy or advanced disease. They are associated with prolonged morbidity and high mortality
Identification of high-risk patients and management of fistulas at an early stage may delay the need for subsequent therapy and decrease morbidity
Summary
We have described a 57-yr-old sacral chondrosarcoma patient with a transsacral colon fistula complicated by E. coli bacteremia and multiple extra-intestinal manifestations. MS documented and prepared most of the draft. GM Edited the manuscript and helped in preparing the draft. TAS Documented and prepared part of the draft. HUS Edited the manuscript, revision of bibliography and helped in preparing the draft. All authors read and approved final manuscript
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