Multiple Shunt Catheter Tips Migration into an Inguinal Hernia in an Adult.

Asian journal of neurosurgery Pub Date : 2024-09-10 eCollection Date: 2024-12-01 DOI:10.1055/s-0044-1790291
Zuhdy Alsheik, Emil Margolin, Sharif Robin, Daniel Dykman, Haim Ezer
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Abstract

Although ventriculoperitoneal shunt tip migration into an inguinal hernia is considered common in children, while in adults it is quite rare. In fact, only a handful of cases have been reported in the literature. We report a rare case whereby two catheter tips (one from a lateral ventricle shunt and a second from a 4th ventricular shunt) migrated into an inguinal hernia. This migration caused distal shunt malfunction, and only distal catheter shortening and suturing to the abdominal wall caused the two shunts to function again.

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成人腹股沟疝中的多个分流导管尖端移位。
虽然脑室腹腔分流管尖端移入腹股沟疝在儿童中很常见,但在成人中却非常罕见。事实上,文献中报道的病例屈指可数。我们报告了一例罕见病例,患者的两根导管尖端(一根来自侧脑室分流器,另一根来自第四脑室分流器)移入腹股沟疝。这种移位导致远端分流失灵,只有缩短远端导管并将其缝合到腹壁上才能使两个分流器恢复功能。
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