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伴有脑室腹腔分流术的腹腔内脑脊液假性囊肿

Intraperitoneal cerebrospinal fluid pseudocyst with ventriculoperitoneal shunt.

作者信息

Masoudi Mohammad Sadegh, Rasafian Marziye, Naghmehsanj Zahra, Ghaffarpasand Fariborz

机构信息

Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Neurosurgery, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Afr J Paediatr Surg. 2017 Jul-Sep;14(3):56-58. doi: 10.4103/ajps.AJPS_94_16.

DOI:10.4103/ajps.AJPS_94_16
PMID:29557353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5881288/
Abstract

Ventriculoperitoneal (VP) shunting is mostly used in the treatment of hydrocephalus and many complications have been reported with this method. Abdominal Pseudocyst (APC) are relatively uncommon but important complications in patients with VP shunts. We herein report the case of a 9-year-old boy with VP shunt who presented with abdominal distension, abdominal pain, malaise, and decrease of appetite. Abdominal pelvic computed tomography confirmed a diagnosis of APC. Laparotomy was done and VP shunt was placed into the other side of peritoneal cavity again. Also here, etiology, presentation, diagnosis, and treatment of APC were reviewed.

摘要

脑室腹腔(VP)分流术主要用于治疗脑积水,并且已有许多关于该方法并发症的报道。腹腔假性囊肿(APC)是VP分流术患者相对少见但重要的并发症。我们在此报告一例9岁行VP分流术的男孩,其出现腹胀、腹痛、不适和食欲减退。腹部盆腔计算机断层扫描确诊为APC。进行了剖腹手术,并将VP分流管再次置入腹腔的另一侧。在此,我们还对APC的病因、表现、诊断和治疗进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/dceb33b546f4/AJPS-14-56-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/8a81d08f1b86/AJPS-14-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/45dd8dee34bc/AJPS-14-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/dceb33b546f4/AJPS-14-56-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/8a81d08f1b86/AJPS-14-56-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/45dd8dee34bc/AJPS-14-56-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fc4/5881288/dceb33b546f4/AJPS-14-56-g003.jpg

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本文引用的文献

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Neurol Sci. 2016 Sep;37(9):1387-91. doi: 10.1007/s10072-016-2589-7. Epub 2016 Apr 26.
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Abdominal cerebrospinal fluid pseudocyst: a comparative analysis between children and adults.腹部脑脊液假性囊肿:儿童与成人的对比分析
脑脊液假性囊肿的核心难题——病例系列及文献综述
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BMC Surg. 2013 Jul 8;13:27. doi: 10.1186/1471-2482-13-27.
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Management of abdominal pseudocyst in shunt-dependent hydrocephalus.分流依赖型脑积水患者腹部假性囊肿的管理
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Neurol Med Chir (Tokyo). 2012;52(11):838-42. doi: 10.2176/nmc.52.838.
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World Neurosurg. 2013 Feb;79(2 Suppl):S23.e17-20. doi: 10.1016/j.wneu.2012.02.004. Epub 2012 Feb 10.
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