Pediatric neurosurgery · 2007
A case of infertility in a patient with a ventriculoperitoneal shunt.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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White J Bradley, Raffel Corey, Blackwell Richard Edgar
Аннотация
OBJECTIVE AND IMPORTANCE: Complications arising from the placement of ventriculoperitoneal (VP) shunts are well documented. A case of infertility is presented that was thought to result from factors related to the distal end of a VP shunt residing within a patient's abdomen.
CLINICAL PRESENTATION: A 30-year-old female with a 3-year history of infertility was referred for fallopian tube blockage. An exploratory laparoscopy revealed multiple adhesions adjoining the distal end of her fallopian tubes. The distal portion of a VP shunt placed at childhood (with subsequent revisions) was found entangled among grossly inflamed and densely adhesive pelvic viscera.
INTERVENTION: Laparoscopic adhesiolysis was performed and the patient's fallopian tubes were reconstituted. The distal portion of the VP shunt was freed from the surrounding viscera and was not revised.
CONCLUSION: VP shunts may produce adhesive disease and complicate fertility via mechanical, chemical, and/or infectious processes.
CLINICAL PRESENTATION: A 30-year-old female with a 3-year history of infertility was referred for fallopian tube blockage. An exploratory laparoscopy revealed multiple adhesions adjoining the distal end of her fallopian tubes. The distal portion of a VP shunt placed at childhood (with subsequent revisions) was found entangled among grossly inflamed and densely adhesive pelvic viscera.
INTERVENTION: Laparoscopic adhesiolysis was performed and the patient's fallopian tubes were reconstituted. The distal portion of the VP shunt was freed from the surrounding viscera and was not revised.
CONCLUSION: VP shunts may produce adhesive disease and complicate fertility via mechanical, chemical, and/or infectious processes.