Synowitz H J, Lehmann R
Neurochirurgischen Abteilung, Humboldt-Universität zu Berlin.
Zentralbl Neurochir. 1988;49(1):15-21.
A 19-year-old young man was admitted with a serious clinical picture of an infected anterior sacral meningocele. Escherichia coli was identified as the pathogenic organism in the spinal putrid fluid. A catheter percutaneously introduced in the hernial sac served as an external drainage of the fluid. At the same time a systemic antibiotic treatment was carried out. After the sanation, the opening of the meningocele was surgically closed in the interval transdurally from the dorsal direction. For this fibrinous adhesive was used in addition to the suture. After six months the hernial sac closure could be demonstrated in the check-up myelo- and computer tomogram.
一名19岁的年轻男子因感染性骶前脊膜膨出的严重临床表现入院。在脊髓腐败液中鉴定出大肠杆菌为致病微生物。经皮插入疝囊的导管用作液体的外部引流。同时进行了全身抗生素治疗。病情好转后，在间隔期从背侧经硬膜将脊膜膨出的开口手术闭合。为此，除缝合外还使用了纤维蛋白粘合剂。六个月后，在脊髓造影和计算机断层扫描检查中证实疝囊已闭合。
