Gupta A, Ahmad F U, Kumar A, Gaikwad S, Vaishya S
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India.
Acta Neurochir (Wien). 2006 Nov;148(11):1205-7; discussion 1207. doi: 10.1007/s00701-006-0898-y. Epub 2006 Oct 9.
An umbilical CSF fistula following a ventriculoperitoneal shunt is an extremely rare complication. We report a 28-year-old man who presented with leak of clear fluid from the umbilicus, one month after a ventriculo-peritoneal shunt revision. Shuntogram revealed communication between umbilicus and abdominal end of the catheter. He was managed successfully with shunt exteriorization, antimeningitic treatment, and later shunt re-insertion.
脑室腹腔分流术后出现脐部脑脊液瘘是一种极其罕见的并发症。我们报告一例28岁男性,在脑室 - 腹腔分流术修复术后1个月出现脐部清亮液体渗漏。分流造影显示脐部与导管腹腔端相通。通过将分流管外置、抗感染治疗以及随后重新置入分流管,患者得到了成功治疗。