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- YAMAGUCHI Satoshi
- Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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- TAKEDA Masaaki
- Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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- KIHARA Hirotaka
- Department of Pediatrics, Graduate School of Biomedical Sciences, Hiroshima University
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- EGUCHI Kuniki
- Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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- MITSUHARA Takafumi
- Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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- MATSUSHIGE Toshinori
- Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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- KURISU Kaoru
- Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
書誌事項
- タイトル別名
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- —Case Report—
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A 6-month-old female presented with purulent discharge from a dimple in the right lateral buttock. A subcutaneous abscess was palpated on the right paravertebral region at the L5-S1 level. She had low-grade fever with laboratory findings of leukocytosis and elevation of C-reactive protein levels. Klebsiella and Enterococcus species were cultured from the pus. Computed tomography (CT) clearly showed a tract traversing the subcutaneous tissue and connecting to the abscess. Magnetic resonance (MR) imaging showed no abnormality in the spinal canal. The diagnosis was infected congenital dermal sinus (CDS) in the right buttock. After normalization of body temperature and laboratory findings in response to antibiotic treatment, the dermal sinus tract was surgically removed. Intraoperative findings showed that the tract gradually tapered and ended at the subcutaneous abscess space over the lumbosacral fascia. Histological examination confirmed the lesion was dermal sinus. Although laterally placed CDS in the buttocks is extremely rare with only 5 previous cases reported, lateral CDS should be included in the differential diagnosis of a dimple in the buttocks. CT as well as MR imaging should be performed to evaluate suspected lateral CDS.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 51 (6), 460-462, 2011
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
- 1390282680033824640
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- NII論文ID
- 10029138347
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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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- 抄録ライセンスフラグ
- 使用不可