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Ventriculoperitoneal Shunt Catheter Dislocation Causing Massive Right-Side Pleural Effusion: A Case Report

腦室腹膜分流管異位導致大量右側肋膜積液:病例報告

摘要


腦室腹膜分流術是治療水腦症的一種常用治療方式。腦室腹膜分流術所致肋膜積液是一種少見的併發症,而且過去的病例報告多伴隨著橫隔膜缺損。腦室腹膜分流術所導致的肋膜積液可能會造成呼吸衰竭,必須以手術治療。在此我門描述一位51歲男性因腦室腹膜分流管的遠端管尖異位,導致持續性大量肋膜積液,而造成呼吸衰竭。病人在接受腦室腹膜分流管復位手術且適當引流後,才改善此一肋膜積液現象。

並列摘要


Ventriculoperitoneal (VP) shunting is a common method used to treat hydrocephalus; however, it can cause a variety of complications, such as infection, dysfunction, malposition and over-drainage. Pleural effusion is an uncommon complication of VP shunting and is usually associated with diaphragm defects. Refractory massive pleural effusion can cause respiratory failure. Surgical intervention is usually needed to correct the VP shunt-related pleural effusion. Here, we describe the case of a 51-year-old man who presented with respiratory failure due to persistent massive right-sided pleural effusion, caused by dislocation of the distal tip of the VP shunt catheter. After surgical revision of the VP shunt catheter and proper drainage, the pleural effusion was eliminated.

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