V-P shunt術後肝膿瘍の1例

Liver Abscess Secondary to Ventriculoperitoneal Shunt: A case report

I．はじめに

　Ventriculoperitoneal（V-P）shuntは，種々の原因によって発生する水頭症に対して現在最も広く用いられている手術方法である．その腹腔内合併症として腹腔内嚢腫形成は比較的よく知られているが，今回著者らはV-Pshunt術後に肝膿瘍を併発した症例を経験したので，文献的考察を加えて報告する．

Liver abscess is a rare complication following the ventriculoperitoneal (V-P) shunt operation. There has been only one case reported in the literature. We pre-sent a case of liver abscess developed about 3 months after V-P shunt operation.

A 31-year-old female was admitted to our hospital in comatose condition due to second bleeding from an aneurysm of the right internal carotid artery on Janu-ary 1, 1984. Obliteration of the aneurysm was per-formed on the following day. She received V-P shunt operation for the marked hydrocephalus on February 4, but she developed low spinal fluid pressure syndrome.