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complicanza piu frequente e temibile delle derivazioni ventricolo-peritoneali. sterna di derivazione infettato, rappresentano le complicanze piu frequenti e. Iannelli, A., Puca, A., Calisti, A. () ‘Idrocele edernia inguinale dopo derivazione ventricolo peritoneale in età pediatrica. Pediatria del Medico Chirurgica. Dispnea postprandiale e da posizione: segno clinico di pseudocisti intraperitoneale in pazienti con idrocefalo e derivazione ventricolo-peritoneale. Pediatria.

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AU – Palma, P. Three weeks after discharge the infant was readmitted to the hospital because of labored, tachypneic breathing, and frequent oxygen desaturation accompanied by bradycardia.

Evntricolo title of the contribution Postprandial and postural dyspnea: Intraperitoneal pseudocysts are also a known complication of ventriculo-peritoneal shunts. Hydrothorax is poorly tolerated in the very young and can lead to hypoxia and compensated respiratory acidosis, as we observed in our infant patient.

One-way valves in the thoracic lymphatic structures prevent retrograde fluid flow. Other causes of pleural effusions that should be considered are pulmonary infection of viral or bacterial origin and chylothorax following traumatic injury to the thoracic duct from an improperly placed central venous catheter or from an intrathoracic surgical procedure such as ligation of a patent ductus arteriosus, which was performed in our patient.

Her abdomen was soft, nontender, and not distended. Case Report History This 4-month-old girl had been born at 24 weeks of gestation after premature rupture of the amniotic membranes. This forced CSF to flow preferentially in a superior ventricolp toward the diaphragmatic lymphatic structures, where it was drawn ventricollo negative intrathoracic pressure into the pleural cavity for absorption.

Access to Document Link to publication perihoneale Scopus. Respiratory distress as a presenting symptom of VP shunt cerivazione is unusual, and as illustrated in our case, should be considered in the differential diagnosis of shunt malfunction. Discussion This case is unique because hydrothorax occurred as a result of preferential transdiaphragmatic flow of CSF into the pleural cavity in the absence of ascites.

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Symptomatic hydrothorax is an unusual postoperative complication after ventrucolo VP shunt placement and can become life threatening, especially in infants and small children. Guidelines for the pritoneale of hydrothorax may be gleaned from the few reported cases in the literature.

During shunt surgery the peritoneal surfaces were observed to be thickened and the intestinal loops were matted together, suggesting that the diffusely present thick adhesions created a poor milieu for CSF absorption.

Shunt cerebrale – Wikipedia

Dispnea postprandiale e da posizione: Most of the complications are related to the distal end of the shunt device and include obstruction of intraperitoneal catheter, development of inguinal hernia or hydrocele, perforation of viscera.

Abstract The surgical treatment peeritoneale hydrocephalus has been greatly improved by the techniques of ventriculo-peritoneal shunting.

Soon afterward the entire shunt system required revision because of blockage from cerebral debris. Studies in patients undergoing dialysis have elucidated peritoneal fluid exchange rates and have shown that water and solutes cross the peritoneum in a passive, bidirectional flow.

Ospedale Pediatrico Bambino Gesu. Detivazione Course The patient had an uneventful postoperative recovery with complete resolution of respiratory difficulties.

During this interval symptomatic hydrocephalus was treated by withdrawing CSF via intermittent lumbar and ventricular punctures. In the present report the authors describe peritonrale cases of intraperitoneal pseudocysts clinically manifested by the occurrence of postprandial dyspnea and hiccupping, without any apparent sign of CSF shunt device dysfunction.

At 30 minutes centricolo the start of imaging radioactivity appeared in the thoracic region Fig. Movement into the upper abdomen results from flow into a region of low pressure produced by absorption by diaphragmatic lymphatic structures and from a gravitational effect pulling the upper abdominal viscera away from the lower diaphragmatic surface.

Derivazkone to their relative rare incidence and the aspecificity of their clinical presentation, this last type of complication has received a minor consideration. In addition, to our knowledge no 99m Tc-DTPA epritoneale scan demonstrating preferential transdiaphragmatic CSF flow into the pleural cavity has been described in the literature.

Because the workup showed absence of shunt and pleural fluid infections and preferential flow of CSF from the peritoneal to the pleural cavity, the existing VP shunt was converted to a ventriculoatrial shunt. Several complications may however occur following these operative procedures.

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Shunt cerebrale

The patient had an uneventful postoperative recovery with complete resolution of respiratory difficulties. Anteroposterior chest x-ray film obtained 1 week after shunt revision demonstrating complete resolution of hydrothorax and expansion of the lungs. The tube migrates through a preexisting hiatus, or through the anterior foramen of Morgagni or posterior foramen of Bochdalek, the two congenital hiatuses where the diaphragmatic musculature is thinnest along its fibroareolar sternocostal and lumbocostal margins.

Other problems included bronchopulmonary dysplasia and nonclosure of a patent ductus arteriosus requiring surgical ligation. Radiological Evaluation We assessed shunt function and observed CSF flow by means of a radionucleotide study using 1. She subsequently developed Peritomeale IV ventricular hemorrhage.

AB – The surgical treatment of hydrocephalus has been greatly improved by the techniques of ventriculo-peritoneal shunting. Ventrocolo condition was treated conservatively with 14 days of intravenously administered broad spectrum antibiotic medications.

Pediatria Medica e ChirurgicaVol.

Respiratory exhalation produces passive stretching of the diaphragm with rapid influx of fluid through the stomas into the lacunae. Subsequent images demonstrated increased accumulation in the thoracic region, and an intense area of radioactivity next to the diaphragm, consistent with communication of CSF between the abdominal and thoracic cavities Fig.

At discharge the infant was observed to have a soft, nondistended abdomen, and an x-ray film series of the VP shunt showed the peritoneal tube to be well placed in the abdominal cavity. We assessed shunt function and observed CSF flow by means of a radionucleotide study using 1. The surgical treatment of hydrocephalus has been greatly improved by the techniques of ventriculo-peritoneal shunting.