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远端分流管尖端出现离奇的折返现象导致分流功能障碍。

A bizarre reentry phenomenon of distal shunt tip causing shunt malfunction.

作者信息

Udayakumaran Suhas, Beni Adani Liana

机构信息

Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.

出版信息

Childs Nerv Syst. 2010 Jul;26(7):963-5. doi: 10.1007/s00381-009-1073-6. Epub 2010 Jan 14.

DOI:10.1007/s00381-009-1073-6
PMID:20076988
Abstract

INTRODUCTION

We report a bizarre presentation of a distal shunt malfunction in a 5-year-old child with a ventriculoperitoneal shunt.

DISCUSSION

The plain radiographs done as a workup for possible shunt malfunction demonstrated the distal shunt tip reentering the abdominal wall from inside the peritoneal cavity. We discuss the possible explanation for the phenomenon.

CONCLUSION

We conclude that the case is just another reminder of the fact that shunt malfunctions can have multiple presentations; hence, a regular follow-up with appropriate imaging and high index of suspicion is mandatory in preventing morbidities.

摘要

引言

我们报告了一名患有脑室腹腔分流术的5岁儿童出现远端分流器故障的离奇表现。

讨论

作为对可能的分流器故障进行检查而拍摄的X线平片显示，远端分流器尖端从腹腔内重新进入腹壁。我们讨论了该现象的可能解释。

结论

我们得出结论，该病例再次提醒我们分流器故障可能有多种表现形式；因此，为预防发病，必须定期进行适当的影像学检查并保持高度怀疑。

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Bowel perforation secondary to ventriculoperitoneal shunt: case report and clinical analysis.脑室腹腔分流术后继发肠穿孔：病例报告及临床分析
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