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

Her abdomen was soft, nontender, and not distended. We also recommend that pleural fluid and CSF be cultured for a minimum of 5 days to rule out indolent Staphylococcus epidermidis infection and that symptomatic hydrothorax be treated during this time with periodic needle thoracentesis, as was done with success in our infant patient.

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.

AU – Palma, P. Owing to their relative rare incidence and the aspecificity of their clinical presentation, this last type of complication has received a minor consideration.

Shunt cerebrale

A VP shunt was placed to treat communicating hydrocephalus after the necrotizing en-terocolitis had completely resolved, when there were no further gastrointestinal complications and after oral feeding had been well tolerated for several days. Anteroposterior x-ray film of the chest and abdomen showing the peritoneal tube of the VP shunt well positioned peritkneale the abdomen and bilateral pleural effusions with partial collapse of the right lung.

Perifoneale 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. Arterial blood gas and serum electrolyte testing showed hypoxia and compensated respiratory acidosis. Anteroposterior chest x-ray film obtained 1 week after shunt revision demonstrating complete resolution of hydrothorax and expansion of the lungs.


AU – Velardi, F.

Derivazionf instances of intrathoracic shunt migration or pleural cavity shunt penetration, repositioning of the shunt from the thoracic cavity into the abdomen corrects the problem. Other problems included bronchopulmonary dysplasia and nonclosure of a patent ductus arteriosus requiring surgical ligation. Guidelines for the treatment of hydrothorax may be gleaned from the few reported cases in the literature. Access to Document Link to publication in Scopus.

Respiratory exhalation produces passive stretching of the diaphragm with rapid influx of fluid through the stomas into the lacunae. Case Report History This 4-month-old girl had been born at 24 weeks of gestation after premature rupture of the amniotic membranes. Dispnea postprandiale e da posizione: Diaphragmatic contraction during inspiration creates a negative intrathoracic pressure and empties the lymphatics into efferent ducts. At discharge cerivazione 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.

Soon afterward peditoneale entire shunt system required revision because of blockage from cerebral debris. Discussion This case derivaione unique because hydrothorax occurred as a result of preferential transdiaphragmatic flow of CSF into the pleural cavity in the absence of ascites.

AB – The surgical treatment of hydrocephalus has been greatly improved by the techniques of ventriculo-peritoneal shunting. The surgical treatment of hydrocephalus has been greatly improved by the techniques of ventriculo-peritoneal shunting. Symptomatic treatment peritonealle the hydrothorax by means of needle thoracentesis, with conversion of the VP shunt to a ventriculoatrial shunt, corrects the problem. Intraperitoneal pseudocysts are also a known complication of ventriculo-peritoneal shunts.


Several chest x-ray films showed total resolution of hydrothorax within 1 week after surgery Fig. AU – Pancani, S.

In the present report the authors describe two cases of intraperitoneal pseudocysts clinically manifested by the ventricolp of postprandial dyspnea and hiccupping, without any apparent sign of CSF shunt device dysfunction. Pediatria Medica e ChirurgicaVol. Hydrothorax is poorly tolerated in the very young and can lead to hypoxia and compensated respiratory acidosis, as we observed in our infant patient.

Respiratory distress as a presenting symptom of VP shunt malfunction is unusual, and as illustrated in our case, should be considered in the differential diagnosis of shunt malfunction. Pediatria Medica e Chirurgica15 2 The pathways of the flow of contrast material within the peritoneal cavity were defined by Autio.

Shunt cerebrale – Wikipedia

This condition was treated conservatively with 14 days of intravenously administered broad spectrum antibiotic medications. 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.

Pleural fluid and CSF obtained intraoperatively were again cultured, and neither grew any organisms even after 10 deribazione of aerobic and anaerobic incubation. During each shunt surgery dense adhesions were observed in the abdominal contents and peritoneal cavity.

Symptomatic hydrothorax is an unusual postoperative complication after ventriculoperitoneal Periitoneale shunt placement and can become life threatening, especially in infants and small children. Translated title of the contribution Postprandial and postural dyspnea: