Jakeman Molly, Jeevan Ranjeet, Burn Sasha C, Falder Sian
1Regional Burns and Paediatric Plastic Surgery Service, and.
2Department of Neurosurgery, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom.
J Neurosurg Pediatr. 2017 Dec;20(6):517-520. doi: 10.3171/2017.7.PEDS16708. Epub 2017 Oct 6.
Ventriculoperitoneal (VP) shunt placement is among the most common surgical procedures undertaken by neurosurgeons. Complications arising from the thoracic portion of the shunt are relatively rare in comparison with those of the intraventricular and peritoneal portions. Disruption of primary breast development following VP shunt placement has not previously been reported. The authors describe the case of a 15-year-old girl referred to the plastic surgery department with a significant right breast deformity and associated asymmetry following VP shunt placement performed during the neonatal period. The calcified shunt was excised and the breast deformity was corrected surgically through multiple scar tissue releases and restoration of the normal breast parenchymal anatomy via a minimally invasive approach, resulting in an excellent aesthetic outcome. This case highlights the potential for injury to occult breast tissue in pediatric patients undergoing VP shunt placement, which can impair subsequent cosmesis and quality of life.
脑室腹腔（VP）分流术是神经外科医生最常进行的外科手术之一。与脑室和腹腔部分相比，分流管胸部部分引起的并发症相对较少。此前尚未有关于VP分流术后原发性乳房发育受阻的报道。作者描述了一名15岁女孩的病例，该女孩因新生儿期进行VP分流术后出现明显的右侧乳房畸形及相关不对称而转诊至整形外科。切除了钙化的分流管，并通过多次松解瘢痕组织和采用微创方法恢复正常乳房实质解剖结构对乳房畸形进行了手术矫正，取得了极佳的美学效果。该病例凸显了接受VP分流术的儿科患者隐匿性乳房组织受损的可能性，这可能会损害后续的美容效果和生活质量。
