Birbilis Theodosios, Zezos Petros, Liratzopoulos Nikolaos, Oikonomou Anastasia, Karanikas Michael, Kontogianidis Kosmas, Kouklakis Georgios
Department of Neurosurgery, Democritus University of Thrace, University General Hospital, Dragana, 68100 Alexandroupolis, Greece.
Cases J. 2009 Aug 7;2:8251. doi: 10.4076/1757-1626-2-8251.
Ventriculoperitoneal shunt placement is an effective treatment of hydrocephalus diverting the cerebrospinal fluid into the peritoneal cavity. Unfortunately, the shunt devices have a high incidence of malfunction mainly due to catheter obstruction or infection and are associated with various complications, 25% of which are abdominal. Spontaneous bowel perforation is a rare potentially fatal complication of ventriculoperitoneal shunt occurring anytime, few weeks to several years, after the placement of the ventriculoperitoneal shunt device. A 54-year-old Greek man with spontaneous perforation of sigmoid colon as a complication of distal ventriculoperitoneal shunt migration was treated successfully by antibiotic prophylaxis and abdominal surgery. Clinicians managing patients with ventriculoperitoneal shunt must be familiar with its possible complications and be aware for early recognition of them.
脑室腹腔分流术是一种治疗脑积水的有效方法，可将脑脊液引流至腹腔。不幸的是，分流装置的故障发生率很高，主要原因是导管阻塞或感染，并伴有各种并发症，其中25%与腹部有关。自发性肠穿孔是脑室腹腔分流术罕见但可能致命的并发症，可在脑室腹腔分流装置置入后的任何时间发生，从数周到数年不等。一名54岁的希腊男子因远端脑室腹腔分流管移位并发乙状结肠自发性穿孔，通过抗生素预防和腹部手术成功治愈。治疗脑室腹腔分流术患者的临床医生必须熟悉其可能的并发症，并注意早期识别这些并发症。
