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腹水和腹部假性囊肿:两例罕见的脑室腹腔分流术并发症

Ascites and abdominal pseudocyst: two uncommon ventriculoperitoneal shunt complications in two cases.

作者信息

Comba Atakan, Gülenç Nazlı, Çaltepe Gönül, Dağçınar Adnan, Yüce Özlem, Kalaycı Ayhan Gazi, Ulus Aykan

机构信息

Department of Pediatric Gastroenterology, Hepatology and Nutrition Marmara University Faculty of Medicine, İstanbul, Turkey.

出版信息

Turk J Pediatr. 2013 Nov-Dec;55(6):655-8.

PMID:24577989
Abstract

Ascites and abdominal pseudocysts (APC) are two rare complications that can occur following placement of a ventriculoperitoneal (VP) shunt. Both complications are characterized by abnormal intraperitoneal cerebrospinal fluid (CSF) collections. Although various factors have been implicated, the exact pathogenesis of the two conditions remains elusive. This paper presents two cases of VP shunt placement resulting from hydrocephaly. The first patient presented with generalized ascites and the other with APC, both of whom were six years old. APC and ascites after VP shunt placement are rare and distinct conditions; therefore, they may require different management strategies.

摘要

腹水和腹腔假性囊肿(APC)是脑室腹腔(VP)分流术后可能出现的两种罕见并发症。这两种并发症的特征均为腹腔内脑脊液(CSF)异常积聚。尽管涉及多种因素,但这两种情况的确切发病机制仍不清楚。本文介绍了两例因脑积水而行VP分流术的病例。首例患者出现全身性腹水,另一例出现APC,两人均为6岁。VP分流术后的APC和腹水是罕见且不同的病症;因此,它们可能需要不同的管理策略。

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Pan Afr Med J. 2022 Jan 10;41:23. doi: 10.11604/pamj.2022.41.23.29426. eCollection 2022.
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Abdominal Cerebrospinal Fluid Pseudocyst as a Complication of Ventriculoperitoneal Shunt Placement.腹腔脑脊液假性囊肿作为脑室腹腔分流术的一种并发症
Cureus. 2020 Jul 23;12(7):e9363. doi: 10.7759/cureus.9363.
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Ventriculoperitoneal Shunt-Associated Ascites: A Case Report.脑室腹腔分流术相关腹水:一例报告
Cureus. 2020 Jun 15;12(6):e8634. doi: 10.7759/cureus.8634.
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Sterile cerebrospinal fluid ascites presenting as high SAAG ascites: a case report.表现为高血清腹水白蛋白梯度(SAAG)腹水的无菌性脑脊液性腹水:一例报告
BMC Gastroenterol. 2019 Nov 27;19(1):200. doi: 10.1186/s12876-019-1116-8.
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Case 6: Ascites in a 20-year-old Man with Dandy-Walker Syndrome, Hydrocephalus, and Ventriculoperitoneal Shunt.病例6:一名患有丹迪-沃克综合征、脑积水和脑室腹腔分流术的20岁男性的腹水情况。
Pediatr Rev. 2017 Oct;38(10):494-495. doi: 10.1542/pir.2016-0140.
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Giant Intraperitoneal Multiloculated Pseudocyst in a Male.男性腹腔内巨大多房性假性囊肿
Case Rep Surg. 2016;2016:4974509. doi: 10.1155/2016/4974509. Epub 2016 Feb 24.