Yuksel K Z, Senoglu M, Yuksel M, Ozkan K U
Department of Neurosurgery, Medical Faculty, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey.
Pediatr Neurosurg. 2006;42(3):193-6. doi: 10.1159/000091867.
Patients with ventriculoperitoneal (VP) shunts may have multiple complications. Migration of the peritoneal catheter into some anatomical or congenitally open cavities can cause inguinal or genitourinary manifestations such as hernia, hydrocele or acute scrotum, and these are common in male infants. We report a very rare complication of VP shunt encountered in a female infant, manifesting as hydrocele of the canal of Nuck, the female counterpart of hydrocele of the spermatic cord. It is emphasized that VP shunts may also cause clinical inguinal manifestations in female infants, and groin or external genital organ swelling in these patients may be an important sign of shunt malfunction.
脑室腹腔（VP）分流术患者可能会出现多种并发症。腹膜导管迁移至某些解剖学或先天性开放腔隙可导致腹股沟或泌尿生殖系统表现，如疝气、鞘膜积液或急性阴囊，这些在男婴中很常见。我们报告了一名女婴中遇到的一种非常罕见的VP分流术并发症，表现为Nuck管鞘膜积液，即精索鞘膜积液的女性对应情况。需要强调的是，VP分流术也可能导致女婴出现临床腹股沟表现，这些患者的腹股沟或外生殖器肿胀可能是分流功能障碍的重要迹象。
