Building 9, Department of Pediatrics and Neonatology, University Medical Center of Saarland, 66421, Homburg, Germany.
Department of Radiology, University Medical Center of Saarland, Homburg, Germany.
Wien Med Wochenschr. 2022 Oct;172(13-14):292-293. doi: 10.1007/s10354-021-00870-6. Epub 2021 Aug 2.
Described herein is a case of distended abdomen in a 4-year-old boy with a ventriculoperitoneal (VP) shunt due to bilateral intraventricular hemorrhage following premature birth. Physical examination and laboratory tests revealed tenderness in the lower quadrants, with mild leukocytosis and normal C‑reactive protein levels. X‑ray demonstrated an intact VP shunt catheter but cranial displacement of the large intestine. Ultrasonography confirmed a large pseudocyst around the VP shunt, with extension from the symphysis to the sternum. The distal part of the VP shunt was surgically revised and 2.5 l of cerebrospinal fluid were evacuated. The boy made a full clinical recovery. Conventional X‑rays, routinely used to confirm or exclude VP shunt continuity, may provide important clues regarding to the etiology of VP shunt dysfunction.
本文描述了一例因早产导致双侧脑室出血而接受脑室腹腔（VP）分流术的 4 岁男孩出现腹胀。体格检查和实验室检查显示下象限有压痛，白细胞轻度增多，C 反应蛋白水平正常。X 射线显示 VP 分流导管完整，但大肠向颅侧移位。超声检查证实 VP 分流周围有一个大的假性囊肿，从耻骨延伸到胸骨。VP 分流的远端部分进行了手术修正，并排出了 2.5 升的脑脊液。该男孩完全康复。常规用于确认或排除 VP 分流连续性的 X 射线可能为 VP 分流功能障碍的病因提供重要线索。
