Shehu B B, Ismail N J, Ameh E A
Neurosurgical, Unit, Department of Surgery, Usmanu, Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
East Afr Med J. 2005 Sep;82(9):486-7. doi: 10.4314/eamj.v82i9.9342.
A three month old girl with progressive hydrocephalus from birth had a ventriculoperitoneal (VP) shunt, during which the cerebrospinal fluid (CSF) was found to be xanthochromic. She developed acute ileus four hours post-operatively and continued to deteriorate. The shunt was exteriorised as an external ventricular drain. She did well and another VP shunt was inserted later. Acute ileus following VP shunt is not common, but can occur in the presence of xanthochromic CSF. It is advisable that when such CSF is encountered during VP shunt, the initial management should be external ventricular drainage, followed later by VP shunt when the CSF becomes clear. This can be life saving.
一名自出生起患有进行性脑积水的三个月大女孩接受了脑室腹腔（VP）分流术，术中发现脑脊液（CSF）呈黄变。术后四小时她出现急性肠梗阻并持续恶化。分流管被外置为外部脑室引流管。她恢复良好，后来又植入了另一根VP分流管。VP分流术后急性肠梗阻并不常见，但在脑脊液黄变的情况下可能发生。建议在VP分流术中遇到此类脑脊液时，初始处理应为外部脑室引流，待脑脊液变清后再行VP分流术。这可能挽救生命。
