Item type |
デフォルトアイテムタイプ(フル)(1) |
公開日 |
2017-08-02 |
タイトル |
|
|
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 |
|
言語 |
ja |
タイトル |
|
|
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 |
|
言語 |
en |
作成者 |
石野, 信一郎
狩俣, 弘幸
金城, 章吾
金城, 達也
白石, 祐之
西巻, 正
Ishino, Shinichiro
Karimata, Hiroyuki
Kinjo, Shougo
Kinjo, Tatsuya
Shiraishi, Masayuki
Nishimaki, Tadashi
|
アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
ventriculo-peritoneal shunt |
主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
intestinal penetration |
主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
laparoscopic surgery |
内容記述 |
|
|
内容記述タイプ |
Other |
|
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.\nColon 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.\nIt 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. |
内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
出版者 |
|
|
出版者 |
琉球医学会 |
|
言語 |
ja |
言語 |
|
|
言語 |
jpn |
資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
1346-888X |
収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN10369445 |
収録物名 |
|
|
収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
|
言語 |
ja |
書誌情報 |
巻 34,
号 1・2,
p. 59-64
|