PDF(Pubmed)
Abstract：
UNASSIGNED: This report emphasizes the significance of acknowledging infrequent yet severe complications such as bowel perforation and transanal protrusion post ventriculoperitoneal shunt (VPS) surgery. VPS patients should be observed for atypical indicators and manifestations that could suggest the presence of such complications, even in the lack of traditional clinical signs of peritonitis or bowel perforation.
UNASSIGNED: Placing an intracranial shunt, may be a reasonable approach to decrease the complications of hydrocephalus and it can be done either simultaneous to cranioplasty or not. Ventriculoperitoneal shunts were first proposed in 1905 and has been used since. Similar to any other procedure, there are different complications to this surgery. Abdominal complications, including peritoneal pseudocysts, intestinal volvulus, protruding in hernial sac or extrusion through vagina, scrotum, umbilicus or gastrointestinal tract, are rare but according to previous studies happen in 5%-47% of cases. Bowel perforation is a rare complication and can happen in 0.01%-0.07% of patients. It\'s also worth mentioning that only 25% of patients with bowel perforation experience the classic clinical symptoms of peritonitis or bowel perforation. This particular complication should not be overlooked since it can cause a high mortality rate of 15%. Here we present a case of transanal protrusion of ventriculoperitoneal shunt after an asymptomatic bowel perforation, in an adult who has undergone surgery after a traumatic brain injury. The patient has undergone surgery and lastly the shunt was manually removed from anus. He was monitored for 3 days and eventually discharged.
UNASSIGNED: Placing an intracranial shunt, may be a reasonable approach to decrease the complications of hydrocephalus and it can be done either simultaneous to cranioplasty or not. Ventriculoperitoneal shunts were first proposed in 1905 and has been used since. Similar to any other procedure, there are different complications to this surgery. Abdominal complications, including peritoneal pseudocysts, intestinal volvulus, protruding in hernial sac or extrusion through vagina, scrotum, umbilicus or gastrointestinal tract, are rare but according to previous studies happen in 5%-47% of cases. Bowel perforation is a rare complication and can happen in 0.01%-0.07% of patients. It\'s also worth mentioning that only 25% of patients with bowel perforation experience the classic clinical symptoms of peritonitis or bowel perforation. This particular complication should not be overlooked since it can cause a high mortality rate of 15%. Here we present a case of transanal protrusion of ventriculoperitoneal shunt after an asymptomatic bowel perforation, in an adult who has undergone surgery after a traumatic brain injury. The patient has undergone surgery and lastly the shunt was manually removed from anus. He was monitored for 3 days and eventually discharged.
摘要：
■本报告强调承认脑室-腹腔分流术（VPS）后肠穿孔和经肛门前突等罕见但严重的并发症的重要性。应观察VPS患者的非典型指标和表现，可能提示存在此类并发症，即使缺乏传统的腹膜炎或肠穿孔的临床体征。
■放置颅内分流，可能是减少脑积水并发症的合理方法，并且可以与颅骨成形术同时进行。脑室腹膜分流器于1905年首次提出，此后一直使用。类似于任何其他程序，这个手术有不同的并发症。腹部并发症,包括腹膜假性囊肿,肠扭转,在疝囊中突出或通过阴道挤出，阴囊,脐部或胃肠道，是罕见的，但根据以前的研究发生在5％-47％的病例。肠穿孔是一种罕见的并发症，可发生在0.01％-0.07％的患者中。值得一提的是,只有25%的肠穿孔患者出现腹膜炎或肠穿孔的经典临床症状。这种特殊的并发症不容忽视，因为它可能导致15%的高死亡率。在这里，我们介绍了无症状肠穿孔后经肛门突出的脑室-腹腔分流术，在创伤性脑损伤后接受手术的成年人身上。患者接受了手术，最后手动从肛门中取出分流器。他被监测了3天，最终出院。
■放置颅内分流，可能是减少脑积水并发症的合理方法，并且可以与颅骨成形术同时进行。脑室腹膜分流器于1905年首次提出，此后一直使用。类似于任何其他程序，这个手术有不同的并发症。腹部并发症,包括腹膜假性囊肿,肠扭转,在疝囊中突出或通过阴道挤出，阴囊,脐部或胃肠道，是罕见的，但根据以前的研究发生在5％-47％的病例。肠穿孔是一种罕见的并发症，可发生在0.01％-0.07％的患者中。值得一提的是,只有25%的肠穿孔患者出现腹膜炎或肠穿孔的经典临床症状。这种特殊的并发症不容忽视，因为它可能导致15%的高死亡率。在这里，我们介绍了无症状肠穿孔后经肛门突出的脑室-腹腔分流术，在创伤性脑损伤后接受手术的成年人身上。患者接受了手术，最后手动从肛门中取出分流器。他被监测了3天，最终出院。
