Klee Vanessa M, Craft Randall O, Zimmerman Richard S, Harold Kristi L
Scottsdale, Arizona, USA.
JSLS. 2009 Jan-Mar;13(1):101-3.
A 31-year-old female with a history of pseudotumor cerebri presented with headache and abdominal discomfort after placement of a ventriculoperitoneal (VP) shunt. The VP shunt was placed after prior failure and revision of a lumbar peritoneal shunt. Computed tomography demonstrated shunt migration into the subcutaneous tissue. Laparoscopy was used to reposition the VP shunt, directing the shunt toward the pelvis. The patient presented for further evaluation one month later, at which point the shunt was shown to have migrated into the subcutaneous tissue once again. Laparoscopy was again used to reposition the shunt and affix it to the abdominal wall by using polytetrafluoroethylene (PTFE) mesh.
一名31岁有假性脑瘤病史的女性，在置入脑室腹腔（VP）分流管后出现头痛和腹部不适。该VP分流管是在先前腰大池腹腔分流管失败并进行修复后放置的。计算机断层扫描显示分流管移入皮下组织。通过腹腔镜重新放置VP分流管，将分流管引向盆腔。一个月后患者前来进一步评估，此时发现分流管再次移入皮下组织。再次通过腹腔镜重新放置分流管，并使用聚四氟乙烯（PTFE）网将其固定在腹壁上。
