@article{oai:u-ryukyu.repo.nii.ac.jp:02016880,
 author = {石野, 信一郎 and 狩俣, 弘幸 and 金城, 章吾 and 金城, 達也 and 白石, 祐之 and 西巻, 正 and Ishino, Shinichiro and Karimata, Hiroyuki and Kinjo, Shougo and Kinjo, Tatsuya and Shiraishi, Masayuki and Nishimaki, Tadashi},
 issue = {1･2},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 note = {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., 論文},
 pages = {59--64},
 title = {[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},
 volume = {34}
}