髄液腹腔誘導術後の腹腔内嚢腫形成 : 症例報告と文献例の検討

概要

論文の詳細を見る
Two patients with abdominal pseudocysts as a complication of peritoneal shunt were reported and a review of the literature relating to this complication was presented. Each patient had a ventriculo-peritoneal shunt 3 years previously for normal pressure hydrocephalus. Vomiting and abdominal distention were noted. There was no symptoms or signs of increased intracranial pressure. One patient, Case 1, had a left epidural abscess and one previous shunt revision. The other, Case 2, had no history of prior abdominal surgery or shunt infection and the shunt was converted to a ventriculoarterial diversion. Abdominal pseudocysts are not a common complicaton of peritoneal shunt procedures. In this clinic only 2 (0.9%) of 228 peritoneal shunts, which was performed for the treatment of normal pressure hydrocephalus in the past 5 years, developed this complication. Forty-one cases of abdominal pseudocysts have been reported in the literature. All except one case had abdominal symptoms and/or symptoms of increased intracranial pressure on admission. The clinical signs developed as late as 5 years after catheter insertion, but frequently within 6 mon-ths. Associated shunt infection and previous intra-abdominal surgery appeared to be the most cons-tant and related causes in the formation of the pseudocyst. Cerebrospinal fluid shunt into another cavity was considered to be the most reliable treatment of this complication.
日本脳神経外科学会の論文
1984-09-15