Ciçek Ramazan, Türkyilmaz Serdar, Cinel Akif, Küçüktülü Uzel, Mumcu Sezgin, Cakir Ertuğrul
Karadeniz Teknik Universitesi Tip Fakültesi Genel Cerrahi Anabilim Dali, Trabzon, Turkey.
Ulus Travma Acil Cerrahi Derg. 2003 Apr;9(2):137-9.
Peritonitis is a rare complication of ventriculoperitoneal shunt. Shunt infection may be the cause in patients with ventriculoperitoneal shunt, who have acute abdomen. Specific clues taken from patient's history, physical examination and some further investigations may clarify the diagnosis. This case is a 25-years-old male with a ventriculoperitoneal shunt who presented symptoms of acute abdomen. The patient was admitted with complaints of abdominal pain. There were no neurologic signs or symptoms. Physical examination on admission revealed a mass in the right lower abdomen and abdominal muscular guarding with rebound tenderness. Laboratory studies showed leukocytosis of the peripheral blood. Abdominal ultrasound demonstrated a mass and the preoperative diagnosis was appendicitis. On abdominal exploration, appendix was found to be normal but a catheter infection related omental necrosis was present. Surgical therapy was carried out by withdrawal of the catheter and segmental resection of the omentum. The patient was discharged on seventh day postoperatively.
腹膜炎是脑室腹腔分流术的一种罕见并发症。脑室腹腔分流术患者出现急腹症时，分流感染可能是病因。从患者病史、体格检查及一些进一步检查中获取的特定线索可能有助于明确诊断。该病例为一名25岁男性，有脑室腹腔分流术史，出现了急腹症症状。患者因腹痛入院。无神经体征或症状。入院时体格检查发现右下腹有肿块，伴有腹部肌肉紧张和反跳痛。实验室检查显示外周血白细胞增多。腹部超声显示有肿块，术前诊断为阑尾炎。剖腹探查时，发现阑尾正常，但存在与导管感染相关的网膜坏死。通过拔出导管和网膜节段性切除进行手术治疗。患者术后第七天出院。
