Chen P R, Spetzler R F
Department of Neurosurgery, Mischer Neuroscience Institute, University of Texas Medical School at Houston, Houston, Texas, USA.
Acta Neurochir (Wien). 2008 Aug;150(8):829-31; discussion 831. doi: 10.1007/s00701-008-1616-8. Epub 2008 Jun 23.
Persistent abdominal pain directly induced by a peritoneal catheter of a ventriculoperitoneal shunt, which is associated with no other complications such as bowel perforation, pseudocyst or infection, has not been previously reported. A 65-year-old woman with hydrocephalus developed persistent lower abdominal pain radiating to the perineal area after shunt insertion. Radiography suggested that the distal end of a peritoneal catheter was located in a cul-de-sac of the pelvis. Otherwise, all studies were negative for shunt infection, fluid collection, or other abdominal and pelvic events. The patient's pain resolved completely after surgery in which the peritoneal catheter was shortened. In the presence of unexplained, persistent lower abdominal pain after shunt placement, the need to shorten the peritoneal catheter should be considered.
脑室腹腔分流术的腹腔导管直接引起的持续性腹痛，且无其他并发症，如肠穿孔、假性囊肿或感染，此前尚未见报道。一名65岁的脑积水女性在分流术后出现持续性下腹部疼痛，并放射至会阴区。影像学检查提示腹腔导管远端位于盆腔陷凹处。此外，所有检查均未发现分流感染、积液或其他腹部和盆腔病变。患者在腹腔导管缩短的手术后疼痛完全缓解。在分流术后出现无法解释的持续性下腹部疼痛时，应考虑缩短腹腔导管。
