Transanal Prolapse of a Ventriculoperitoneal Shunt Catheter
スポンサーリンク
概要
- 論文の詳細を見る
A 4-year-old girl presented with asymptomatic bowel perforation and transanal protrusion of a ventriculoperitoneal (VP) shunt catheter. She had undergone repair of myelomeningocele at birth and subsequent VP shunting for congenital hydrocephalus 1 month later. Seven months after VP shunting, she underwent revision of the peritoneal catheter. She complained of abdominal pain and nausea at the age of 4 years. She was treated conservatively for 1 month for intestinal obstruction. One month later, her mother noticed the shunt catheter protruding from her anus. Computed tomography (CT) of the abdomen revealed that the peritoneal catheter had migrated into the colon, and CT of the head showed symmetrical dilation of the ventricles. The shunt system was removed immediately, repair of the fistula in the sigmoid colon was performed, and external ventricular drainage was continued for 6 weeks until shunt replacement. One month after the first operation, intestinal obstruction recurred. Duplication of the terminal ileum was removed to prevent further recurrence of the intestinal obstruction. She underwent ventriculoatrial shunting 2 weeks after the second operation and was discharged without neurological sequelae.
- 2008-11-15
著者
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Mineura Katsuyoshi
Department Of Neurosurgery Kyoto Prefectural University Of Medicine
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Mineura Katsuyoshi
Department Of Neurosurgery Graduate School Of Medical Science Kyoto Prefectural University Of Medici
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MARUYAMA Daisuke
Department of Cell Biology, Faculty of Science, Saitama University
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KAKITA Kiyohito
Departments of Neurosurgery, Kyoto First Red Cross Hospital
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HAMASAKI Tomoyuki
Department of Neurosurgery, Kyoto First Red Cross Hospital
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MATSUOKA Hidenori
Department of Neurosurgery, Kyoto First Red Cross Hospital
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TAKEGAMI Tetsuro
Department of Neurosurgery, Kyoto First Red Cross Hospital
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Kakita Kiyohito
Department Of Neurosurgery Kyoto First Red Cross Hospital
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Kakita Kiyohito
Departments Of Neurosurgery Kyoto First Red Cross Hospital
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Maruyama Daisuke
Department Of Applied Biological Sciences Faculty Of Agriculture Saga University
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Maruyama Daisuke
Department Of Neurosurgery Kyoto First Red Cross Hospital
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Matsuoka Hidenori
Department Of Neurosurgery Kyoto First Red Cross Hospital:(present Office)department Of Neurosurgery
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Takegami Tetsuro
Department Of Neurosurgery Kyoto First Red Cross Hospital
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Hamasaki Tomoyuki
Department Of Neurosurgery Kyoto First Red Cross Hospital
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MARUYAMA Daisuke
Department of Anesthesiology, Sapporo Medical University School of Medicine
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