Heterotopic Salivary Gland in the Rectum Associated with Lumbosacral Lipomeningocele: A Dual Developmental Anomaly

Heterotopic salivary glandular tissue within the rectum is exceptionally rare. To date, only 4 cases have been reported in literature and all in adult patients. Here we report a case of ectopic salivary glandular tissue in the rectum in a 12-year-old girl who also had a lumbosacral lipomeningocele. The coexistence of these 2 developmental anomalies; 1 endodermal and 1 neuroectodermal, has not been reported previously. The case is discussed with emphasis on embryologic correlation, review of literature, and a summary of prior published cases.