Olías J J, Vázquez F, Pizarro F J, Pérez R, Castillo R, Ocaña J M
Hospital de Niños Reina Sofía, Servicio Cirugía Pediátrica, Córdoba.
Cir Pediatr. 1991 Apr;4(2):103-7.
We report several cases of abdominal complications in hydrocephalus children with ventriculoperitoneal shunts implanted by different ethnology, as well as the pathology produced. The number of children affected was 16, although some of them had suffered more than one complication, making up a total of 25 cases. The most frequent trouble was due to the intraperitoneal catheter fall, followed by intestinal perforation at different levels, allowing the catheter to get out through the anus, abdominal wall or surgical incision. Some intestinal occlusive situations was due to either volvulus or external compression caused by cerebrospinal fluid abdominal pseudocysts, secondary to ventriculoperitoneal shunt. We took different characteristics of this group of patients and studied the different complications in relation with specialized reports by international authors.
我们报告了几例不同种族的脑积水患儿行脑室腹腔分流术后出现的腹部并发症及其病理情况。受影响的患儿有16例,尽管其中一些患儿不止出现一种并发症,共计25例。最常见的问题是腹腔内导管移位,其次是不同部位的肠穿孔,导致导管经肛门、腹壁或手术切口穿出。一些肠梗阻情况是由脑室腹腔分流术后继发的脑脊液腹腔假性囊肿引起的肠扭转或外部压迫所致。我们分析了这组患者的不同特征,并结合国际作者的专业报告研究了不同的并发症。