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腹腔脑脊液假性囊肿作为脑室腹腔分流术的一种并发症

Abdominal Cerebrospinal Fluid Pseudocyst as a Complication of Ventriculoperitoneal Shunt Placement.

作者信息

Achufusi Ted George O, Chebaya Philip, Rawlins Sekou

机构信息

Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA.

Gastroenterology, State University of New York Upstate Medical University, Syracuse, USA.

出版信息

Cureus. 2020 Jul 23;12(7):e9363. doi: 10.7759/cureus.9363.

Abstract

The abdominal cavity has long been used for absorption of cerebrospinal fluid (CSF) in patients with hydrocephalus. Although the procedure is quite common, there are complications that can potentially arise following ventriculoperitoneal (VP) shunt insertion. Here, we report a case of a 39-year-old female patient in which a large abdominal pseudocyst was developed as a complication of VP shunt placement. Ultrasonographical evaluation of the abdomen showed a well-defined cystic mass lesion later confirmed on CT abdomen. She subsequently underwent surgical excision of the pseudocyst with resolution of previous symptoms. Clinicians should be aware of this complication since early diagnosis improves outcome and reduce patient's suffering and distress.

摘要

长期以来,腹腔一直被用于脑积水患者脑脊液(CSF)的吸收。尽管该手术相当常见,但在脑室腹腔(VP)分流置入术后可能会出现并发症。在此,我们报告一例39岁女性患者,其因VP分流置入术后出现了一个巨大的腹部假性囊肿。腹部超声检查显示一个边界清晰的囊性肿块病变,随后腹部CT证实了这一情况。她随后接受了假性囊肿的手术切除,先前的症状得以缓解。临床医生应意识到这种并发症,因为早期诊断可改善预后并减轻患者的痛苦和困扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90cf/7384702/59c9c9fa4e00/cureus-0012-00000009363-i01.jpg

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