Transanal Prolapse of a Ventriculoperitoneal Shunt Catheter -Case Report-
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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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- MARUYAMA Daisuke
- 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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- KAKITA Kiyohito
- Department of Neurosurgery, Kyoto First Red Cross Hospital
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- MINEURA Katsuyoshi
- Department of Neurosurgery, Kyoto Prefectural University of Medicine
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- タイトル別名
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- —Case Report—
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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.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 48 (11), 526-528, 2008
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680031061120
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- NII論文ID
- 110006990770
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- NII書誌ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- 使用不可