Subcutaneous Pneumocele Associated With Ventriculoperitoneal Shunt Migration Into the Mechanically Occluded Colon : Case Report
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概要
- 論文の詳細を見る
A 62-year-old man presented with shunt failure manifesting as consciousness disturbance 4 years after placement of a ventriculoperitoneal shunt for subarachnoid hemorrhage. Physical examination found subcutaneous pneumocele around the peritoneal catheter extending from the abdomen to the neck. He had undergone pelvic radiation therapy for bladder cancer 2 years before. The peritoneal catheter was removed from the cervical region, and external ventricular drainage and a descending colon stoma for ileus release were positioned. The cerebrospinal fluid was clear and yielded no cultures. No inflammatory changes were seen. He developed carcinomatous peritonitis and died 4 months later. Retrograde colon gas reflux due to catheter perforation into the colon occluded by metastatic sigmoid cancer was probably the cause. Fragility of the wall of colon associated with the prior abdominal radiation therapy might have been a contributing factor. Subcutaneous pneumocele around the peritoneal catheter, i.e. pneumocele within the fibrous sheath surrounding the catheter, is a differential diagnosis to cerebrospinal fluid collection in patients with subcutaneous swelling around the catheter.
- 社団法人 日本脳神経外科学会の論文
- 2006-11-15
著者
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NAKAHARA Kuniaki
Department of Neurosurgery, Kitasato University School of Medicine
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SHIMIZU Satoru
Departments of Neurosurgery Kitasato University School of Medicine
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FUJII Kiyotaka
Departments of Neurosurgery Kitasato University School of Medicine
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Shimizu Satoru
Department Of Neurosurgery Kitasato University School Of Medicine
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Fujii Kiyotaka
Department Of Neurosurgery Kitasato University School Of Medicine
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Fujii Kiyotaka
北里大学 医学部脳神経外科
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Fujii Kiyotaka
Kitasato Univ. School Of Medicine
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YAMADA Masaru
Department of Neurosurgery,Yamato City Hospital
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UTSUKI Satoshi
Department of Neurosurgery, Kitasato University School of Medicine
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Utsuki S
Department Of Neurosurgery Kitasato University School Of Medicine
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Utsuki Satoshi
Department Of Neurosurgery Kitasato University School Of Medicine
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Yamada Masaru
Department Of Neurosurgery Kitasato University School Of Medicine
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Fujii Kiyotaka
Department Of Brain Sugery School Of Medicine Kitasato University
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Suzuki Sachio
Department Of Neurosurgery Kitasato University School Of Medicine
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Miyajima Yoshiteru
北里大学 医学部脳神経外科
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Miyajima Yoshiteru
Department Of Neurosurgery Kitasato University School Of Medicine
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Shimizu Satoru
Department Of Neurosurgery Yokohama Stroke And Brain Center
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Yamada Masaru
Department Of Neurosurgery Yamato City Hospital
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Yamada Masaru
Department Of Environmental Urban Engineering Faculty Of Engineering Osaka City University
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Nakahara Kuniaki
Department Of Neurosurgery Kitasato University School Of Medicine
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Yamada Masaru
Department Of Civil Engineering Osaka City University
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Shimizu Satoru
Department Of Hygiene And Public Health I Tokyo Women's Medical University
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Shimizu Satoru
Kitasato Univ. School Of Medicine Kanagawa Jpn
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Shimizu Satoru
Department Of Biotechnology Faculty Of Engineering Kyoto Sangyo University
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FUJII Kiyotaka
Department of Neurosurgery, Kitasato University School of Medicine
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