Nakano A, Tani E, Sato M, Shimizu Y
Department of Neurosurgery, Hyogo College of Medicine, Japan.
Surg Neurol. 1994 Sep;42(3):224-6. doi: 10.1016/0090-3019(94)90266-6.
A case of ventriculoperitoneal shunt malfunction is presented, in which cerebrospinal fluid was discharged from the nipple. A pseudocyst was found at the end of peritoneal catheter in the right subphrenic abdominal cavity. In addition, a fibrous tract was formed around the peritoneal catheter and communicated with the lactiferous duct probably injured incidentally during the subcutaneous insertion of catheter. Consequently, cerebrospinal fluid accumulated in the pseudocyst in the abdominal cavity and then flowed backward in the fibrous tract to the lactiferous duct during the respiration to discharge from the nipple.
本文报告一例脑室腹腔分流术故障病例，脑脊液从乳头排出。在右膈下腹腔的腹腔导管末端发现一个假性囊肿。此外，在腹腔导管周围形成了一条纤维束，并与可能在导管皮下插入过程中意外受损的乳腺导管相通。因此，脑脊液在腹腔内的假性囊肿中积聚，然后在呼吸过程中沿纤维束向后流入乳腺导管，从乳头排出。
