Peritoneal shunt tube migration into the stomach - Case report
Peritoneal shunt tube migration into the stomach - Case report
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DOI：
10.2176/nmc.45.543
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发表时间：
2005-10-01
影响因子：
1.9
通讯作者：
Tabuchi, K
中科院分区：
文献类型：
--
作者：
Masuoka, J;Mineta, T;Tabuchi, K
一位47岁男性因蛛网膜下腔出血继发正常压力脑积水接受脑室腹腔分流术后3.5年出现反复头痛和发热。腹部计算机断层扫描显示腹膜导管被纤维组织包裹，导管远端已移位至胃内。诊断为脑室腹腔分流术引起的自发性胃穿孔。预期纤维组织可以密封非常小的胃穿孔，因此通过头皮切口成功取出导管，无需腹部手术干预。
A 47-year-old man presented with repeated headache and feverishness 3.5 years after undergoing ventriculoperitoneal shunt surgery for normal pressure hydrocephalus secondary to subarachnoid hemorrhage. Abdominal computed tomography revealed that the peritoneal catheter was encased by fibrous tissue and the distal end of the catheter had migrated into the stomach. The diagnosis was spontaneous gastric perforation by the ventriculoperitoneal shunt. The fibrous tissue was expected to seal the very small gastric perforation, so the catheter was successfully extracted through a scalp incision without abdominal surgical intervention.