Cystoperitoneal shunt for a giant intrathoracic meningocele under local anesthesia

Kazumi Tanaka; Kimihiro Shimizu; Seiichi Kakegawa; Kiyohiro Oshima; Izumi Takeyoshi

doi:10.1016/j.athoracsur.2010.01.071

Cystoperitoneal shunt for a giant intrathoracic meningocele under local anesthesia

Ann Thorac Surg. 2011 Jan;91(1):317-9. doi: 10.1016/j.athoracsur.2010.01.071.

Authors

Kazumi Tanaka¹, Kimihiro Shimizu, Seiichi Kakegawa, Kiyohiro Oshima, Izumi Takeyoshi

Affiliation

¹ Division of Thoracic and Visceral Organ Surgery, Gunma University, Graduate School of Medicine, Intensive Care Unit, Gunma University Hospital, Gunma, Japan.

PMID: 21172550
DOI: 10.1016/j.athoracsur.2010.01.071

Abstract

Giant intrathoracic meningoceles are extremely rare, and the standard treatment for giant intrathoracic meningoceles remains controversial. We present the case of a patient with giant intrathoracic meningoceles associated with neurofibromatosis type I. Our patient had poor respiratory function because of the giant intrathoracic meningocele, so we performed a cystoperitoneal shunt under local anesthesia. We describe our cystoperitoneal shunt technique using an adjustable-pressure valve. This simple, minimally invasive treatment is a valuable alternative treatment option in patients at high operative risk, especially those with low respiratory function.

Publication types

Case Reports

MeSH terms

Anesthesia, Local*
Cerebrospinal Fluid Shunts / methods*
Female
Humans
Meningocele / complications
Meningocele / pathology*
Meningocele / surgery*
Middle Aged
Peritoneal Cavity*
Thoracic Cavity*