Sami A, Ait Ben Ali S, Choukry M, Achouri M, Naja A, Ouboukhlik A, Elkamar A, Elazhari A, Boucetta M
Service de Neurochirurgie, CHU IBN Rochd, Casablanca, Maroc.
Neurochirurgie. 1995;41(4):315-8.
Three cases of abdominal catheter migration through the anus following ventriculo-peritoneal shunt are described. Two cases involved hydrocephalus secondary to tuberculous meningitis and the third myelomeningocele. Among the reasons for migration, the length of the abdominal catheter, trauma during the operation and infection must be taken into consideration. One patient was suffering from meningitis at the time of admission, while the two others were asymptomatic. Treatment involved removing the peritoneal catheter in 2 cases and the entire shunt system in the patient with meningitis. The shunt was replaced one to two weeks later. The outcome was favourable in all three cases.
本文描述了3例脑室-腹腔分流术后腹腔导管经肛门移位的病例。其中2例为结核性脑膜炎继发脑积水，第3例为脊髓脊膜膨出。在导管移位的原因中，必须考虑腹腔导管的长度、手术过程中的创伤和感染。1例患者入院时患有脑膜炎，另外2例无症状。治疗方法为2例行腹腔导管移除术，患有脑膜炎的患者移除整个分流系统。1至2周后更换分流装置。3例患者预后均良好。
