Faecal incontinence as presentation of an ependymomas of the spinal cord.

BACKGROUND

Spinal tumours and ependymomas in particular are rare causes of cauda equina syndrome that present with faecal incontinence.

CASE PRESENTATION: We present a case of a 45 year old gentleman who presents to a colorectal clinic with incontinence. We then present a review of ependymomas with particular reference to the symptoms they cause as well a review of the neurophysiology of faecal continence.

CONCLUSION

Suspicion for non-colonic causes for faecal incontinence should arise when there is absence of other etiologic factors. Establishment of the diagnosis of spinal tumours is with neurological examination and MRI spine.