Shafiee Sajad, Nejat Farideh, Raouf Sherief M, Mehdizadeh Mehrzad, El Khashab Mostafa
Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Iran.
Childs Nerv Syst. 2011 Sep;27(9):1499-501. doi: 10.1007/s00381-011-1503-0. Epub 2011 Jun 28.
Upward migration of distal catheter of a ventriculoperitoneal shunt with coiling is very rare. Pseudocyst and galactorrhea are known breast-related complications. Here, we report a 13-year-old girl, known case of myelomeningocele and shunted hydrocephalus, who presented with right breast pseudocyst due to distal tube migration and coiling of the catheter. Plain radiography was not diagnostic because of severe levoscoliosis, but chest computed tomography scan was confirmatory of shunt coiling lateral to the breast. The possible mechanisms causing this uncommon complication are described.
脑室腹腔分流术远端导管向上迁移并盘绕的情况非常罕见。假性囊肿和溢乳是已知的与乳房相关的并发症。在此，我们报告一名13岁女孩，她患有脊髓脊膜膨出和分流性脑积水，因远端导管迁移和盘绕而出现右乳假性囊肿。由于严重的左侧脊柱侧弯，X线平片无法确诊，但胸部计算机断层扫描证实分流装置在乳房外侧盘绕。本文描述了导致这种罕见并发症的可能机制。
