Rodgers B M, Vries J K, Talbert J L
J Pediatr Surg. 1978 Jun;13(3):247-53. doi: 10.1016/s0022-3468(78)80395-9.
Abdominal complications following ventriculo-peritoneal shunting for hydrocephalus are not uncommon. One of the complications that has heretofore required abandonment of the peritoneal shunt has been entrapment or encystation of the peritoneal limb of the catheter system. Four infants have been identified with malfunction of the peritoneal limb of the system by characteristic physical findings of increasing head size and dissection of fluid along the shunt track. Abdominal radiographs in multiple views revealed the tip of the peritoneal catheter to be fixed in position in each patient and sonography aided in identification of encysted catheters. These infants underwent six laparoscopic procedures to define the cause of shunt malfunction and to reposition the catheter. Cerebrospinal fluid cysts were encountered in three infants and entrapment by the falciform ligament in the fourth. All catheters were easily repositioned within the abdominal cavity with laparoscopy forceps and three of the infants presently have normally functioning shunt systems.
脑积水脑室 - 腹腔分流术后的腹部并发症并不少见。迄今为止，导致必须放弃腹腔分流的并发症之一是导管系统腹腔端被包裹或形成囊肿。通过头围增大以及沿分流管轨迹有液体渗出等特征性体格检查结果，已确定有4例婴儿存在分流系统腹腔端功能障碍。多视角腹部X线片显示，每名患者的腹腔导管尖端位置固定，超声检查有助于识别囊肿形成的导管。这些婴儿接受了6次腹腔镜手术，以明确分流功能障碍的原因并重新放置导管。3例婴儿发现有脑脊液囊肿，第4例婴儿的导管被镰状韧带包裹。使用腹腔镜镊子可轻松在腹腔内重新放置所有导管，目前3例婴儿的分流系统功能正常。
