直腸経由のカテーテル浸食 合併症のない腹腔外側シャント設置後8年:例示的なケース
Matthew Wierzbicki1, India Shelley1, Matthews Lan2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Journal of neurosurgery. Case lessons
|September 1, 2025
まとめ
腹腔内カテーテルによる遠隔腸穿孔 (BPPC) は,腹腔内シャント (VPS) の希少な合併症である. このケースは,最初のVPS配置から何年も経った後に,門外注によるBPPCの遅れたプレゼンテーションを強調しています.
科学分野:
- 神経外科
- 胃腸内科
背景:
- 腹腔内カテーテルによる遠隔腸穿孔 (BPPC) は,腹腔内シャント (VPS) の希少な合併症である.
- BPPCは,水頭症のVPS配置から数年後に発生します.
- プレゼンテーションにはカテーターの門外出が含まれます.
研究 の 目的:
- 腹腔内カテーテルによる 遅延した腸穴の 珍しい症例を報告する.
- 胃腸症状を呈するVPS歴のある患者のBPPCを考慮する重要性を強調する.
主な方法:
- 8年前にVPSを 受けた30歳の女性の症例報告です
- 直腸から突出するカテーテルで提示する.
- 治療にはシャントの外部化,VPSの除去,腸の穴の修復のための腹腔切除が含まれていました.
主要な成果:
- 腸の穴の修復が成功しました
- 介入後の症状の解消
結論:
- 腹腔内カテーテルによる遠隔腸の穿孔は,VPSの希少だが重大な合併症である.
- この合併症は,シャントの設置から数年後,様々な症状で現れます.
- BPPCは,生涯にわたって全身または胃腸の症状を経験しているVPS患者の差異診断に含まれます.
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