Chan Yung, Datta Narendra N, Chan Kwong Yau, Rehman Safi Ur, Poon Christopher Y F, Kwok John C K
Department of Neurosurgery, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong, ROC.
Surg Neurol. 2003 Jul;60(1):68-9; discussion 70. doi: 10.1016/s0090-3019(03)00027-2.
A variety of complications can occur following ventriculoperitoneal shunt. We report a case of extrusion of the catheter tip through the old scar of the percutaneous endoscopic gastrostomy (PEG) wound.
A 70-year-old male suffered from an intracerebral hemorrhage and then developed hydrocephalus. He required a ventriculoperitoneal shunt. This patient required a PEG for gastroenteric feeding. The PEG was removed 4 years after the insertion because of infection. The tip of the distal shunt tube extruded through the scar of the PEG wound 2 years later.
The catheter end of VP shunt can extrude through the weak point of an old PEG scar. This kind of complication should be brought to mind while performing abdominal surgery in patients with VP shunts.
脑室腹腔分流术后可能会出现多种并发症。我们报告一例导管尖端经皮内镜下胃造口术（PEG）伤口的旧瘢痕处穿出的病例。
一名70岁男性，曾患脑出血，随后发展为脑积水。他需要进行脑室腹腔分流术。该患者因胃肠喂养需要行PEG。PEG在插入4年后因感染而拔除。2年后，远端分流管尖端经PEG伤口瘢痕处穿出。
脑室腹腔分流术的导管末端可经旧PEG瘢痕的薄弱点穿出。在对脑室腹腔分流术患者进行腹部手术时，应想到这种并发症。
