Bladder perforation by ventriculoperitoneal shunt

被引:8
作者
Miranda, Marcelo Eller [1 ,2 ]
de Sousa, Mariana Bueno [2 ]
Tatsuo, Edson Samesima [1 ,2 ]
Quites, Lucas Viana [3 ]
Giannetti, Alexandre Varella [1 ,3 ]
机构
[1] Univ Fed Minas Gerais, Sch Med, Dept Surg, Belo Horizonte, MG, Brazil
[2] Univ Fed Minas Gerais, Hosp Clin, Serv Pediat Surg, Belo Horizonte, MG, Brazil
[3] Univ Fed Minas Gerais, Hosp Clin, Serv Neurosurg, Rua Santa Catarina 1042 Ap 201, BR-30170080 Belo Horizonte, MG, Brazil
关键词
Ventriculoperitoneal shunt; Bladder; Complication; Hydrocephalus; PERITONEAL CATHETER; AUGMENTATION CYSTOPLASTY; URETHRAL EXTRUSION; CALCULUS FORMATION; URINARY-BLADDER; COMPLICATION; PATIENT;
D O I
10.1007/s00381-016-3202-3
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Bladder perforation by ventriculoperitoneal shunt is a rare complication that has been describe in 19 cases in prior literature. This work describes the case of a 4-month-old baby who presented with extrusion of the distal catheter through the urethra. The patient underwent a laparotomy; the catheter was cut close to the bladder wall and repositioned into the peritoneal cavity. The bladder wall was sutured, and the remaining distal portion of the catheter was removed through the urethra. Based on this single experience and a literature review, the authors classified the clinical signs and symptoms of bladder perforation by the ventriculoperitoneal shunt catheter. Finally, the authors propose a more conservative approach for this rare complication.
引用
收藏
页码:2321 / 2326
页数:6
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