Spinal neurenteric cyst. Association with vertebral anomalies, diastematomyelia, dorsal fistula, and lipoma.

A 50-year-old man was admitted with complaints of difficulty in walking, urinary incontinence, and a lump over the lumbosacral region. X-ray examination of the lumbosacral spine revealed bizarre vertebral anomalies, including a hole in the L-5 vertebral body. At operation an enterogenous cyst in association with diastematomyelia, cutaneous fistula, and a lipoma was encountered. Post-operatively, some improvement ensued. The case is discussed and pertinent literature reviewed with particular reference to the etiopathology of the cyst.