Native Ureter Ventriculo-Ureteral Shunt Placement for Management of Refractory Hydrocephalus in a Child With a History of Renal Transplant: Case Report and Technical Note

This report describes the case of a 5-year-old male with intractable hydrocephalus secondary to neonatal intraventricular hemorrhage who was ultimately managed with the placement of a ventriculo-ureteral (VU) shunt. He had previously failed numerous attempts at cerebrospinal fluid shunting, choroid plexus cauterization, and endoscopic third ventriculostomy. The patient had a history of end stage renal disease, and had previously undergone renal transplant. In an operation that involved Neurosurgeons, Pediatric Urologists, and Transplant surgeons, a Gibson incision was used to avoid the patient's multiple intra-abdominal adhesions, and his nonfunctioning renal unit was used to implant a VU shunt without early or late complications.

本报告描述了一名5岁男性因新生儿脑室内出血继发顽固性脑积水的病例，最终通过放置脑室 - 输尿管（VU）分流管进行治疗。他此前多次尝试脑脊液分流、脉络丛烧灼以及内镜下第三脑室造瘘均失败。该患者有终末期肾病病史，且此前接受过肾移植。在一场由神经外科医生、小儿泌尿外科医生和移植外科医生参与的手术中，采用吉布森切口以避开患者腹部的多处粘连，并利用其无功能的肾单位植入VU分流管，未出现早期或晚期并发症。