Knaus William J, Kamali Parisa, Chun Yoon, Lin Samuel J
Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Boston, Mass.; Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Boston, Mass.; and Division of Plastic Surgery, Brigham and Women's Hospital, Boston, Mass.
Plast Reconstr Surg Glob Open. 2016 Mar 17;4(3):e640. doi: 10.1097/GOX.0000000000000590. eCollection 2016 Mar.
In this case report we have described an unusual complication of ventriculoperitoneal shunt migration into a breast implant capsule. The patient was appropriately diagnosed with computed tomographic imaging and successfully managed with shunt revision and cerebrospinal fluid aspiration. Given the high complication profile of ventriculoperitoneal shunt catheters, this case suggests an opportunity for improved perioperative communication between plastic surgeons and neurosurgeons in patients with breast implants. Coordination regarding the subcutaneous catheter tunneling may hopefully minimize the risk of this complication.
在本病例报告中，我们描述了脑室腹腔分流管移位至乳房植入物包膜内这一罕见并发症。通过计算机断层扫描成像对患者进行了恰当诊断，并通过分流管翻修和脑脊液抽吸成功进行了处理。鉴于脑室腹腔分流管并发症较多，该病例提示对于有乳房植入物的患者，整形外科医生和神经外科医生之间有机会改善围手术期沟通。关于皮下导管隧道的协调有望将这种并发症的风险降至最低。
