Comba Atakan, Gülenç Nazlı, Çaltepe Gönül, Dağçınar Adnan, Yüce Özlem, Kalaycı Ayhan Gazi, Ulus Aykan
Department of Pediatric Gastroenterology, Hepatology and Nutrition Marmara University Faculty of Medicine, İstanbul, Turkey.
Turk J Pediatr. 2013 Nov-Dec;55(6):655-8.
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.
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。