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このアイテムの引用には次の識別子を使用してください: http://hdl.handle.net/20.500.12001/21711

 
タイトル :[症例報告]腹腔鏡が有用であった脳室腹腔シャントチューブ横行結腸穿通による 細菌性髄膜炎の1例
別言語のタイトル :[CASE REPORT]A case of bacterial meningitis occurred by transverse colon penetration of a ventriculo-peritoneal shunt tube that was successfully treated with the aid of a laparoscope
著者 :石野, 信一郎
狩俣, 弘幸
金城, 章吾
金城, 達也
白石, 祐之
西巻, 正
別言語の著者 :Ishino, Shinichiro
Karimata, Hiroyuki
Kinjo, Shougo
Kinjo, Tatsuya
Shiraishi, Masayuki
Nishimaki, Tadashi
著者所属 :琉球大学医学部付属病院 第一外科
Division of Digestive and General Surgery, Ryukyu University Hospital
琉球大学医学部付属病院 第一外科
Division of Digestive and General Surgery, Ryukyu University Hospital
琉球大学医学部付属病院 第一外科
Division of Digestive and General Surgery, Ryukyu University Hospital
琉球大学医学部付属病院 第一外科
Division of Digestive and General Surgery, Ryukyu University Hospital
琉球大学医学部付属病院 第一外科
Division of Digestive and General Surgery, Ryukyu University Hospital
琉球大学医学部付属病院 第一外科
Division of Digestive and General Surgery, Ryukyu University Hospital
作成日 :2015-12
公開者・出版者 :琉球医学会
収録種別 :雑誌掲載論文
NIIタイプ :Journal Article
ISSN :1346-888X
内容記述 :A 19-year-old woman who had undergone ventriculo-peritoneal (V-P) shunt surgery for Arnold-Chiari malformation type II as a newborn was taken by ambulance to our hospital due to disturbance of consciousness. Bacterial contamination of the cerebrospinal fluid was found, and Computed Tomography (CT) of the abdomen showed that the V-P shunt tube had penetrated the transverse colon and the descending colon. Head CT scan showed hydrocephalus, but it did not get worse than previous CT imaging. An emergency operation was performed and laparoscopic exploration revealed penetration of the peritoneal shunt tube, which was totally covered by fibrous tissue from the fistula, into the transverse colon. No gastrointestinal leakage or contamination of the abdominal space was found, so we removed the peritoneal shunt tube and ligated the fistula in the subcutaneous layer. Colon penetration by a V-P shunt tube is rare, and in this case, laparoscopic procedure was performed safely. This indicates that laparoscopic procedure is one of the useful technique for the treatment of V-P shunt trouble other than open procedure. Furthermore, laparoscopic procedure also reduces risk of accidental organ injury during operation and intra-abdominal adhesion after operation. It is also useful to ligate and dissect the fistula in the subcutaneous layer. Because if the fistula closure is defective, the abscess will occur only in the subcutaneous layer and infectional peritonitis can be avoided.
権利 :琉球医学会
URI :http://hdl.handle.net/20.500.12001/21711
掲載雑誌 :琉球医学会誌 = Ryukyu Medical Journal Vol.34 no.1・2 p.59 -64
出現コレクション:琉球医学会誌

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