Heaney Jonathan, Johnson Reuben
Neurosurgery, Wellington Regional Hospital, Wellington, NZL.
Neurosurgery, Wellington Hospital, Wellington, NZL.
Cureus. 2020 Jan 31;12(1):e6831. doi: 10.7759/cureus.6831.
Ventriculoperitoneal shunt obstruction is a common neurosurgical condition. Obstruction of the peritoneal catheter is less common than other sites of blockage in the system. We present a case of a ventriculoperitoneal shunt blockage caused by a sheath of hyalinised fibrous tissue that had encased the distal side slits of the peritoneal catheter resulting in sub-total blockage. The patient made a complete recovery following the removal of this fibrous tissue from the distal peritoneal catheter without the need to revise the entire shunt.
脑室腹腔分流术梗阻是一种常见的神经外科病症。腹膜导管梗阻比该系统中其他堵塞部位少见。我们报告一例因透明变性纤维组织鞘包裹腹膜导管远端侧孔导致部分梗阻的脑室腹腔分流术堵塞病例。从腹膜导管远端移除该纤维组织后,患者完全康复,无需对整个分流装置进行翻修。