BACKGROUND We report a rare case of spontaneous vesicorectal fistula. CASE PRESENTATION A 13-year-old female spina bifida patient who complained of fecal and urinary incontinence was eventually diagnosed with a spontaneous vesicorectal fistula. We hypothesized that infection, neurogenic bowel and neurogenic bladder caused her vesicorectal fistula. The patient refused the operation, and she is currently in a delicate balance. CONCLUSIONS Early repair of the fistula is necessary. The treatment of neurogenic bladder after fistula repair is difficult and deserves further observation and follow-up.

中文翻译：

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自发性膀胱直肠瘘：神经源性膀胱的罕见并发症。

背景我们报道了自发性膀胱直肠瘘的罕见情况。病例介绍一名13岁的女性脊柱裂患者，主诉大便和尿失禁，最终被诊断为自发性膀胱直肠瘘。我们假设感染，神经源性肠和神经源性膀胱导致了她的膀胱直肠瘘。病人拒绝了手术，她目前处于平衡状态。结论瘘管的早期修复是必要的。瘘管修复后的神经源性膀胱治疗很困难，值得进一步观察和随访。