腹腔镜治疗脑室腹腔分流所致结肠穿孔1例

Q Medicine

Neurosurgery Quarterly Pub Date : 2016-11-01 DOI:10.1097/WNQ.0000000000000183

Jhe-Syun Wu, Chi Wu, Jia-Hui Chen

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引用次数: 0

摘要

一个罕见的并发症脑室腹腔分流是结肠穿孔的导管。腹膜炎患者通常需要剖腹手术来修复穿孔部位。我们报告一位54岁男性，因腹痛1周入院。他曾因脑出血继发脑积水接受脑室-腹膜分流术。计算机断层扫描显示结肠腔内的分流，并通过横结肠和降结肠。腹腔镜下行结肠穿孔囊内缝合术。神经外科医生解除了近端导管，我们用套管针取出了整个导管。术后过程顺利。腹腔镜治疗结肠穿孔可作为诊断和治疗此类并发症的另一种选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Laparoscopic Management of Colonic Perforation Due to Ventriculoperitoneal Shunt: A Case Report

One rare complication of a ventriculoperitoneal shunt is colonic perforation by the catheter. Laparotomy to repair the perforation site is usually required for patient with peritonitis. We present a 54-year-old male who was admitted for 1-week history of abdominal pain. He had previously undergone a ventriculoperitoneal shunt for hydrocephalus secondary to intracerebral hemorrhage. Computed tomography demonstrated the shunt within the colonic lumen and through the transverse and descending colon. Laparoscopy was performed with intracorporeal purse-string closure of the colonic perforation. The proximal catheter was released by neurosurgeon and we removed the whole catheter using the trocar. Postoperative course was uneventful. Laproscopic management of the colonic perforation may be considered as an alternative choice for diagnosing and treating this kind of complication.

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来源期刊

Neurosurgery Quarterly 医学-神经科学

CiteScore

0.08

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurosurgery Quarterly synthesizes the broad wealth of material on international developments in the diagnosis, management, and surgical treatment of neurological disorders. By encompassing viewpoints from worldwide sources, the journal provides information in greater depth than is usually found in the medical literature.