Zhang Ruiping, Liu Jungang, Wang Yizheng, Cao Lirong, Cai Chunquan
Graduate School of Tianjin Medical University, Heping District, Tianjin 300070, P. R. China.
Department of Radiology, Tianjin Children's Hospital, Beichen District, Tianjin 300134, P. R. China.
J Surg Case Rep. 2017 Oct 20;2017(10):rjx211. doi: 10.1093/jscr/rjx211. eCollection 2017 Oct.
The most common procedure to deal with hydrocephalus is ventriculoperitoneal (VP) shunt. The purpose of the shunt is to drain cerebrospinal fluid from cerebral ventricles to abdominal cavity. Many complications of VP shunts have been reported such as infection, obstruction, overdrainage. Abdominal complications occur in ~15-25% of VP shunts in pediatric patients, such as peritonitis, hernia, abscess, perforated colon, perforated bladder and abdominal pseudocyst. However, sub-capsular effusion of liver is a rare complication of VP shunt. In this case report, We described an unusual case of VP shunt complication in a 2-year-old child who presented with intermittent fever and abdominal pain.
治疗脑积水最常见的方法是脑室腹腔(VP)分流术。该分流术的目的是将脑脊液从脑室引流至腹腔。VP分流术有许多并发症的报道,如感染、梗阻、引流过度。小儿患者中约15% - 25%的VP分流术会出现腹部并发症,如腹膜炎、疝气、脓肿、结肠穿孔、膀胱穿孔和腹部假性囊肿。然而,肝包膜下积液是VP分流术罕见的并发症。在本病例报告中,我们描述了一名2岁儿童出现间歇性发热和腹痛的VP分流术并发症的不寻常病例。