Department of Neurosurgery, Aalborg University Hospital, Aalborg, Denmark.
Department of Neurosurgery, Aalborg University Hospital, Aalborg, Denmark.
World Neurosurg. 2021 Aug;152:3-4. doi: 10.1016/j.wneu.2021.05.111. Epub 2021 Jun 1.
A 69-year-old woman with bilateral breast implants and a newly inserted ventriculoperitoneal shunt presented with a 4-day history of swelling of the right breast. There were no signs of infection and blood tests were normal. With the help of ultrasound, mammogram, and computed tomography, the distal catheter of the shunt was found to be surrounding the right breast implant. During surgery the catheter was tunneled away from the breast and reinserted into the peritoneal cavity. She was discharged the next day. Ventriculoperitoneal shunt migration to the breast is a rare complication that can lead to cerebrospinal fluid accumulation and may be avoided by carefully tunneling away from the implant.
一位 69 岁的女性,双侧乳房植入物和新插入的脑室-腹腔分流管,出现右侧乳房肿胀 4 天。没有感染迹象,血液检查正常。在超声、乳房 X 光和计算机断层扫描的帮助下,发现分流管的远端导管环绕着右侧乳房植入物。手术中,导管从乳房周围移开,并重新插入腹腔。她第二天出院了。脑室-腹腔分流管迁移到乳房是一种罕见的并发症,可导致脑脊液积聚,通过仔细地将导管从植入物周围移开可以避免。