Kencana I Gusti Ketut Agung Surya, Maliawan Sri, Lauren Christopher, Adityawarma Anak Agung Ngurah Agung Harawikrama, Japardi Denny
Neurosurgery Division, Department of Surgery, Faculty of Medicine, Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Denpasar, Bali, Indonesia.
J Surg Case Rep. 2024 May 14;2024(5):rjae306. doi: 10.1093/jscr/rjae306. eCollection 2024 May.
The ventriculoperitoneal shunt procedure represents a frequently conducted neurosurgical intervention; nevertheless, it harbors inherent risks that can precipitate complications in patients. Intestinal perforation accompanied by distal shunt protrusion through the anus is an uncommon phenomenon, observed in ~0.1% to 0.7% of cases, with mortality rates reaching up to 15%. Timely identification and comprehensive management of such complications are imperative to prevent further deterioration of the patient's condition. Herein, we present a case involving a 1-month-old female infant who presented with a tube protruding from the anal orifice. Immediate surgical intervention was undertaken to remove the distal shunt and prevent further infection in the patient.
脑室腹腔分流术是一种常见的神经外科手术；然而，它存在一些内在风险，可能会在患者身上引发并发症。伴有远端分流管经肛门突出的肠穿孔是一种罕见现象，在约0.1%至0.7%的病例中可见，死亡率高达15%。及时识别并全面处理此类并发症对于防止患者病情进一步恶化至关重要。在此，我们报告一例涉及一名1个月大女婴的病例，该女婴肛门有分流管突出。立即进行了手术干预，取出远端分流管，以防止患者进一步感染。
