新膀胱患者腹膜导管尿道外挤：分流置入的罕见并发症
Urethral extrusion of a peritoneal catheter in a patient with a neobladder: a rare complication of shunt insertion.
作者信息
de Aguiar G B, Mizrahi C, Aquino J H W, Tavares C M, Telles C, Nigri F, Acioly M A
机构信息
State University of Rio de Janeiro, Department of Surgical Specialties, Division of Neurosurgery, Pedro Ernesto University Hospital, Rio de Janeiro, Brazil.
出版信息
Neuropediatrics. 2011 Jun;42(3):124-7. doi: 10.1055/s-0031-1283109. Epub 2011 Jul 6.
The insertion of a ventriculoperitoneal shunt (VPS) is considered the standard of care for several forms of hydrocephalus. Abdominal complications are most common with this procedure, comprising up to 30% of all shunt-related problems. Conversely, visceral perforation or extrusion of the shunt apparatus is rare. Herein we report a rare complication of VPS insertion in which the peritoneal catheter was spontaneously extruded through the urethra of a patient with a neobladder. We further discuss the pathogenesis, diagnosis, and treatment of this condition.
脑室腹腔分流术（VPS）的置入被认为是多种形式脑积水的标准治疗方法。腹部并发症是该手术最常见的情况，占所有分流相关问题的30%。相反，分流装置的内脏穿孔或挤出很少见。在此，我们报告一例VPS置入的罕见并发症，即腹膜导管自发地从一名新膀胱患者的尿道中挤出。我们进一步讨论了这种情况的发病机制、诊断和治疗。
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