Hori Yusuke S, Ebisudani Yuki, Umakoshi Michiari, Aoi Mizuho, Fukuhara Toru
Department of Neurological Surgery, National Hospital Organization Okayama Medical Center, Tamasu 1711-1, Kita-ku, Okayama, 701-1192, Japan.
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Childs Nerv Syst. 2018 Jan;34(1):31-33. doi: 10.1007/s00381-017-3649-x. Epub 2017 Oct 31.
Peritoneal catheter knot formation is a rare complication associated with ventriculoperitoneal shunting. In most reports, the knot formation was also considered to be the cause of shunt malfunction.
In this study, we demonstrate the possible misinterpretation of peritoneal catheter knot formation in ventriculoperitoneal shunting. We found a knot in the peritoneal catheter intraoperatively, while no knot was noted on the abdominal X-ray taken 1 day prior to the operation. Our findings indicate that the knot had actually formed intraoperatively. This case suggests that we should not immediately conclude that a knot is the cause of shunt malfunction in such an operation.
腹膜导管打结是脑室腹腔分流术相关的一种罕见并发症。在大多数报告中，打结也被认为是分流功能障碍的原因。
在本研究中，我们证明了脑室腹腔分流术中腹膜导管打结可能存在的误解。我们在术中发现腹膜导管有一个结，而在手术前1天拍摄的腹部X光片上未发现结。我们的发现表明这个结实际上是在术中形成的。该病例提示，在这种手术中，我们不应立即断定结是分流功能障碍的原因。
