[脑室腹腔分流术后的脑脊液腹水]
[Cerebrospinal fluid ascites from a ventriculoperitoneal shunt].
作者信息
Houtman-van Duinen W J Wilma, Ende-Verhaar Yvonne M, de Ruiter Godard C W, van der Torren-Conze Adelheid M E
机构信息
Groene Hart Ziekenhuis, afd. Interne geneeskunde, Gouda, the Netherlands.
出版信息
Ned Tijdschr Geneeskd. 2011;155(50):A4035.
BACKGROUND
In a patient with hydrocephalus, the placement of a ventriculoperitoneal shunt is the first treatment of choice. Cerebrospinal fluid ascites is a rare complication of a ventriculoperitoneal shunt, particularly a late complication which can arise more than two years after the implantation of the shunt.
CASE DESCRIPTION
We describe a 29-year-old woman who developed cerebrospinal fluid ascites 15 years after a ventriculoperitoneal shunt had been placed. She was referred due to abdominal pain. Ultrasound showed ascites and a CT scan showed free fluid in all of the abdominal compartments. The ascites disappeared after a ventriculoatrial shunt was placed.
CONCLUSION
This case demonstrates that cerebrospinal fluid ascites can occur as a late complication, years after the placement of a ventriculoperitoneal shunt.
背景
对于脑积水患者，脑室腹腔分流术是首选的治疗方法。脑脊液性腹水是脑室腹腔分流术的一种罕见并发症，尤其是一种晚期并发症，可在分流装置植入两年多后出现。
病例描述
我们描述了一名29岁女性，在脑室腹腔分流术后15年出现脑脊液性腹水。她因腹痛前来就诊。超声检查显示有腹水，CT扫描显示所有腹腔间隙均有游离液体。在置入脑室心房分流管后腹水消失。
结论
本病例表明，脑脊液性腹水可作为脑室腹腔分流术后数年出现的晚期并发症。
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