Journal of Yeungnam Medical Science

Sigmoid Colon Perforation by a Distal Ventriculoperitoneal Shunt Catheter.: Dong Keun Shin, Seong Ho Kim; Yeungnam Univ J Med. 2008;25(2):171-174. Published online December 31, 2008; DOI: https://doi.org/10.12701/yujm.2008.25.2.171

Abstract PDF: We report an unusual case of a sigmoid colon perforation after ventriculoperitoneal shunt surgery. Distal catheters are known to cause perforation in the setting of colonoscopy. The exact pathogenesis of this complication is not clear, but it can cause serious complications. Hence, patients require prompt and aggressive management, including laparotomy with bowel wall repair, catheter removal, and antibiotic therapy.

Cystoperitoneal Shunting after Fenestration of an Enlarging Arachnoid Cyst.: Ik Chan Jeon, Min Su Kim, Seong Ho Kim, Sung Ho Jang; Yeungnam Univ J Med. 2008;25(2):160-164. Published online December 31, 2008; DOI: https://doi.org/10.12701/yujm.2008.25.2.160

Abstract PDF: A two-month-old girl with a history of an incidental arachnoid cyst in the prenatal period (38 weeks) presented with persistent irritability. A follow-up computed tomographic (CT) scan revealed an enlarged arachnoid cyst with hydrocephalus. We performed craniotomy and fenestration, but the cyst size did not decrease, and hydrocephalus had worsened on a follow-up CT scan performed 13 months after fenestration. The patient was treated with cystoperitoneal shunting. Follow-up magnetic resonance imaging (MRI) performed 5 years later revealed that the arachnoid cyst had decreased in size and that the hydrocephalus had resolved. Enlarging arachnoid cysts are not common, and optimal surgical treatment is uncertain. Based on the features of this case, we believe cystoperitoneal shunting is an advisable surgical intervention for patients with enlarging arachnoid cysts presenting with hydrocephalus.

A case of Arnold-Chiari malformation.: Jong Ho Kim, Byeong Seog Kim, Mi Na Lee, Doo Jin Lee, Sung Ho Lee; Yeungnam Univ J Med. 1992;9(1):203-209. Published online June 30, 1992; DOI: https://doi.org/10.12701/yujm.1992.9.1.203

Abstract PDF: The Arnold-Chiari malformation (ACM) is an anomaly of the hindbrain consisting of two components: a variable displacement of a tongue of tissue derived from the inferior cerebellar vermis in the upper cervical canal and a similar caudal dislocation of the medulla and fourth ventricle. Hydrocephalus and meningomyelocele are another abnormalities that associated frequently. We present a case of Arnold-Chiari malformation with hydrocephalus and meningomyeolcele and a brief review of the literatures was added.

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