Pneumothorax après mise en place d'une dérivation ventriculo-péritonéale

Menguy, E.; Mangez, J.-F.; Roux, Philippe Le; Alibert, F; Winckler, C

doi:10.1016/s0750-7658(86)80074-0

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…In the literature, in most reported cases, pneumothorax occurred after ventriculo-or subduroperitoneal shunt surgery [1][2][3][4][5], but in our case, tension pneumothorax occurred shortly before extubation. Time of pneumothorax detection is crucial for early diagnosis and treatment, and early detection could be facilitated by careful examination of electronic anesthesia records.…”

Section: Discussionmentioning

confidence: 51%

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Iatrogenic tension pneumothorax developed during ventriculo-peritoneal shunt surgery and detected shortly before extubation

et al. 2018

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Section: Discussionmentioning

confidence: 51%

“…Iatrogenic tension pneumothorax developed during ventriculo-peritoneal shunt surgery and detected shortly before extubation Yoshiyasu Hattammaru 1* , Tomasz Hascilowicz 2 , Isao Utsumi 2 , Yuichi Murakami 2…”

mentioning

confidence: 99%

Iatrogenic tension pneumothorax developed during ventriculo-peritoneal shunt surgery and detected shortly before extubation

et al. 2018

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“…Portnoy et al reported the first case of pneumothorax after the placement of ventriculoperitoneal shunt in 1973 (4). Menguy et al reported a case of respiratory distress syndrome (RDS) following ventriculo-peritoneal shunt procedure in 1986 and they stated that the RDS was related to surgical pneumothorax (2). Spontaneously resolving was occurred in this case and two possible mechanisms have been proposed for this complication.…”

Section: Discussionmentioning

confidence: 70%

“…Spontaneously resolving was occurred in this case and two possible mechanisms have been proposed for this complication. One is the alveolar overdistention during the mechanical ventilation and the other is pleural tear during the subcutaneous tunneling (2,6). In our case, the positive pulmonary pressure increased when the valsalva maneuver had been performed, and pneumothorax occurred due to increased PEEP causing alveolar overdistention.…”

Section: Discussionmentioning

confidence: 99%

Bilateral pneumothorax during subdural-peritoneal shunting

Solmaz

Tehli²,

Kaya³

et al. 2010

Turkish Neurosurgery

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Pneumothorax is a very rare complication of ventriculoperitoneal shunting in children. We report a case of an iatrogenic bilateral tension pneumothorax during the placement of a subdural-peritoneal shunting. After the placement of peritoneal catheter, oxygen saturation of the patient quickly decreased, hypotension and bradycardia occurred. Intraoperative x-rays showed the pneumothorax. A thoracostomy tube was inserted and attached to an underwater seal. Vital signs improved in a short time period. The radiological improvement had been achieved in four days. Early diagnosis and prompt intervention are life-saving for this complication. To avoid this complication, the tip of the shunt tunneler should be always palpable during the placement of the peritoneal catheter, especially in children's shunt surgery.KeywOrds: Pneumothorax, Subdural-peritoneal shunt, Complication ÖZPnömotoraks çocuklarda ventriküloperitoneal şantın çok nadir bir komplikasyonudur. Biz subdural-peritoneal şant takılması sırasında meydana gelen bilateral basınçlı pnömotoraks olgusunu rapor ettik. Ameliyat sırasında, peritoneal kataterin takılmasından hemen sonra hastada oksijen satürasyonu hızla düştü, hipotansiyon ve bradikardi gelişti. Çekilen intraoperatif röntgen hastada bilateral pnömotoraks geliştiğini gösterdi. Hemen hastaya torakostomi tübü yerleştirildi ve bu tüp sualtı drenajına bağlandı. Vital bulgular hızla düzeldi. Hastada radyolojik düzelme 4. günde meydana geldi. Erken tanı ve çabuk girişim bu komplikasyonda hayat kurtarıcı rol oynar. Bu nadir komplikasyonun önlenebilmesi için şant cerrahisinde peritoneal katater yerleştirilmesi sırasında, özellikle çocuklarda, tünel açıcının ucu her zaman palpabl (ele gelebilir) olmalıdır.

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Intractable cough in a preterm infant with ventriculoperitoneal shunt

Bar‐Yoseph

Livnat

Guilburd

et al. 2012

Pediatric Pulmonology

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We describe the case of an 8-month-old preterm female with a ventriculoperitoneal (VP) shunt who had an intractable resistant cough of three months duration without any identifiable cause. Reposition of the abdominal part of the VP shunt resulted in an immediate and lasting resolution of the cough. This is the first case report describing an infradiaphragmatic irritation as an etiology for persistent cough with ultimate resolution upon reposition of the shunt.

show abstract

Pneumothorax après mise en place d'une dérivation ventriculo-péritonéale

Cited by 6 publications

References 3 publications

Iatrogenic tension pneumothorax developed during ventriculo-peritoneal shunt surgery and detected shortly before extubation

Iatrogenic tension pneumothorax developed during ventriculo-peritoneal shunt surgery and detected shortly before extubation

Bilateral pneumothorax during subdural-peritoneal shunting

Intractable cough in a preterm infant with ventriculoperitoneal shunt

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