Osman Banan, Roushias Stella, Hargest Rachel, Narahari Krishna
Department of Urology, University Hospital of Wales, Heath Hospital, Cardiff, UK.
Nevill Hall Hospital, Cardiff, UK.
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-220187. doi: 10.1136/bcr-2017-220187.
Ventriculoperitoneal (VP) shunt surgery remains the most widely used neurosurgical procedure for the management of hydrocephalus. However, shunt complications are common and may require multiple surgical procedures during a patient's lifetime. We report the case of a 29-year-old patient with a background of Dandy-Walker malformation, occipital encephalocele, recurrent hydrocephalus, spina bifida and epilepsy presented with VP shunt migration into urinary and gastrointestinal tracts. In absence of sepsis or peritonism from either bowel or bladder perforation, local control of stent extrusion was successful for several years, although surgery was eventually undertaken.
脑室腹腔(VP)分流术仍然是治疗脑积水最广泛使用的神经外科手术。然而,分流并发症很常见,患者一生中可能需要多次手术。我们报告了一例29岁患者,其有丹迪-沃克畸形、枕部脑膨出、复发性脑积水、脊柱裂和癫痫病史,出现VP分流管移入泌尿道和胃肠道的情况。尽管最终进行了手术,但在没有因肠道或膀胱穿孔引起的败血症或腹膜炎的情况下,局部控制支架挤出成功维持了数年。