title: Cystoperitoneal shunt for a giant intrathoracic meningocele under local anesthesia.
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.
authors.affiliation: Division of Thoracic and Visceral Organ Surgery, Gunma University, Graduate School of Medicine, Intensive Care Unit, Gunma University Hospital, Gunma, Japan.
authors.forename: Kazumi
authors.initials: K
authors.lastname: Tanaka
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Shimizu
authors.forename: Seiichi
authors.initials: S
authors.lastname: Kakegawa
authors.forename: Kiyohiro
authors.initials: K
authors.lastname: Oshima
authors.forename: Izumi
authors.initials: I
authors.lastname: Takeyoshi
mesh_terms: D000772:Anesthesia, Local; D002557:Cerebrospinal Fluid Shunts / Q000379:methods*; D005260:Female; D006801:Humans; D008588:Meningocele / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D010529:Peritoneal Cavity; D035423:Thoracic Cavity