Xie Xiju, Yang Xiaodong, Xu Hao, Wang Feng, Hu Youfang
Department of General Surgery, the First Affiliated Hospital, Nanjing Medical University, Nanjing, Jiangsu 210029, China;
J Biomed Res. 2013 May;27(3):239-41. doi: 10.7555/JBR.27.20120017. Epub 2012 Jun 30.
Asymptomatic intrapelvic meningocele is rare. Here, we report the case of a 30-year-old Chinese man who underwent sigmoidectomy due to megacolon. During the operation, an intrapelvic cyst was found and resected. Meningocele was confirmed by histological examination. The patient recovered well postoperatively with the exception of liquorrhoea. Conservative therapy was initiated, including draining, anti-infection and specific posture maintenance. During the following week, liquorrhoea was generally relieved and the patient was discharged. This is the first known report of liquorrhoea associated with intrapelvic meningocele resection successfully treated by conservative therapy. Our case indicates that conservative treatment may be considered for similar cases so that a second surgery is avoided.
无症状性盆腔内脊膜膨出罕见。在此,我们报告一例30岁中国男性因巨结肠接受乙状结肠切除术的病例。手术过程中发现并切除了一个盆腔内囊肿。组织学检查确诊为脊膜膨出。患者术后恢复良好,仅出现脑脊液漏。遂开始采取保守治疗,包括引流、抗感染及保持特定体位。在接下来的一周内,脑脊液漏基本缓解,患者出院。这是已知首例关于盆腔内脊膜膨出切除术后脑脊液漏经保守治疗成功治愈的报告。我们的病例表明,对于类似病例可考虑保守治疗,从而避免二次手术。