array:23 [
  "pii" => "S1130147399709826"
  "issn" => "11301473"
  "doi" => "10.1016/S1130-1473(99)70982-6"
  "estado" => "S300"
  "fechaPublicacion" => "1999-01-01"
  "aid" => "70982"
  "copyright" => "Sociedad Española de Neurocirugía"
  "copyrightAnyo" => "1999"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Neurocirugia. 1999;10:164"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 1897
    "formatos" => array:3 [
      "EPUB" => 15
      "HTML" => 777
      "PDF" => 1105
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S1130147399709838"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(99)70983-8"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "aid" => "70983"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "sco"
    "cita" => "Neurocirugia. 1999;10:170"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1550
      "formatos" => array:3 [
        "EPUB" => 15
        "HTML" => 768
        "PDF" => 767
      ]
    ]
    "es" => array:7 [
      "idiomaDefecto" => true
      "titulo" => "Comentarios al trabajo de Luis F. Porras Estrada y coautores: «Migración bilateral de catéter ventriculoperitoneal a bolsa escrotal»"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "170"
        ]
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Juan F. Martínez-Lage"
          "autores" => array:1 [
            0 => array:2 [
              "nombre" => "Juan F."
              "apellidos" => "Martínez-Lage"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709838?idApp=UINPBA00004B"
    "url" => "/11301473/0000001000000002/v1_201305151007/S1130147399709838/v1_201305151007/es/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S1130147399709814"
    "issn" => "11301473"
    "doi" => "10.1016/S1130-1473(99)70981-4"
    "estado" => "S300"
    "fechaPublicacion" => "1999-01-01"
    "aid" => "70981"
    "copyright" => "Sociedad Española de Neurocirugía"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Neurocirugia. 1999;10:158-60"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 3074
      "formatos" => array:3 [
        "EPUB" => 15
        "HTML" => 1544
        "PDF" => 1515
      ]
    ]
    "es" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Cordoma condroide&#58; Presentaci&#243;n de <span class="elsevierStyleBold">un</span> caso con caracter&#237;sticas inmunohistoqu&#237;micas peculiares"
      "tienePdf" => "es"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:2 [
        0 => array:2 [
          "paginaInicial" => "158"
          "paginaFinal" => "160"
        ]
        1 => array:1 [
          "paginaInicial" => "162"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Chondroid chordoma&#58; a case report with unusual inmunohistochemical features"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "autores" => array:2 [
        0 => array:2 [
          "autoresLista" => "R&#46; L&#225;zaro Santander, J&#46;M&#46; Vera Rom&#225;n"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "L&#225;zaro Santander"
            ]
            1 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Vera Rom&#225;n"
            ]
          ]
        ]
        1 => array:2 [
          "autoresLista" => "J&#46;A&#46; Barcia Albacar, J&#46;L&#46; Gil Sal&#250;, J&#46;M&#46; Gonz&#225;lez Darder"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "J&#46;A&#46;"
              "apellidos" => "Barcia Albacar"
            ]
            1 => array:2 [
              "nombre" => "J&#46;L&#46;"
              "apellidos" => "Gil Sal&#250;"
            ]
            2 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Gonz&#225;lez Darder"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709814?idApp=UINPBA00004B"
    "url" => "/11301473/0000001000000002/v1_201305151007/S1130147399709814/v1_201305151007/es/main.assets"
  ]
  "es" => array:13 [
    "idiomaDefecto" => true
    "titulo" => "Migraci&#243;n bilateral de cat&#233;ter ventriculoperitoneal a bolsa escrotal"
    "tieneTextoCompleto" => 0
    "paginas" => array:4 [
      0 => array:1 [
        "paginaInicial" => "164"
      ]
      1 => array:1 [
        "paginaInicial" => "166"
      ]
      2 => array:1 [
        "paginaInicial" => "168"
      ]
      3 => array:1 [
        "paginaInicial" => "170"
      ]
    ]
    "autores" => array:2 [
      0 => array:3 [
        "autoresLista" => "L&#46;F&#46; Porras Estrada, I&#46; Fern&#225;ndez Portales, J&#46;M&#46; Cabezudo Artero, J&#46;A&#46; Rodr&#237;guez-S&#225;nchez, L&#46; Lorenzana Honrado"
        "autores" => array:5 [
          0 => array:2 [
            "nombre" => "L&#46;F&#46;"
            "apellidos" => "Porras Estrada"
          ]
          1 => array:2 [
            "nombre" => "I&#46;"
            "apellidos" => "Fern&#225;ndez Portales"
          ]
          2 => array:2 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Cabezudo Artero"
          ]
          3 => array:2 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Rodr&#237;guez-S&#225;nchez"
          ]
          4 => array:2 [
            "nombre" => "L&#46;"
            "apellidos" => "Lorenzana Honrado"
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Servicio de Neurocirug&#237;a&#46; Hospital Cl&#237;nico Universitario Infanta Cristina&#46; Badajoz"
          ]
        ]
      ]
      1 => array:3 [
        "autoresLista" => "Fern&#225;ndez Vigo"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Fern&#225;ndez"
            "apellidos" => "Vigo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:3 [
            "entidad" => "C&#225;tedra de Oftalmolog&#237;a&#46; Hospital Cl&#237;nico Universitario Infanta Cristina&#46; Badajoz"
            "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
            "identificador" => "aff0010"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Bilateral scrotal migration of a ventriculoperitoneal shunt"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec156672"
          "palabras" => array:7 [
            0 => "Complicaci&#243;n"
            1 => "Derivaci&#243;n ventr&#237;culo-peritoneal"
            2 => "Escroto"
            3 => "Hidrocefalia"
            4 => "Hidrocele"
            5 => "Migraci&#243;n valvular"
            6 => "Proceso vaginal"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec156671"
          "palabras" => array:7 [
            0 => "Catheter migration"
            1 => "Complication"
            2 => "Hydrocele"
            3 => "Hydrocephalus"
            4 => "Processus vaginales"
            5 => "Scrotum"
            6 => "Ventriculoperitoneal shunt"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A partir del desarrollo t&#233;cnico de los sistemas valvulares en la d&#233;cada de los 50&#44; comienza a tratarse la hidrocefalia mediante el uso de derivaciones ventr&#237;culoatriales &#40;VA&#41; y posteriormente ventr&#237;culo-peritoneales &#40;VP&#41; siendo estas &#250;ltimas las m&#225;s frecuentemente utilizadas&#46; Si bien se trata de formas de tratamiento eficaces y bien toleradas no est&#225;n exentas de complicaciones&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso de complicaci&#243;n de v&#225;lvula VP por migraci&#243;n del extremo abdominal a las bolsas escrotales de forma secuencial&#46; Los autores citan las diversas complicaciones del extremo abdominal de las v&#225;lvulas y en particular la asociaci&#243;n a hernia inguinal con o sin hidrocele&#46; Tras exponer las diferentes hip&#243;tesis sugeridas en esta asociaci&#243;n&#44; se resaltan ciertos aspectos cl&#237;nicos-diagn&#243;sticos y puntualizan algunas consideraciones sobre el tratamiento quir&#250;rgico de esta complicaci&#243;n&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Para los autores la existencia de un hidrocele en un ni&#241;o portador de v&#225;lvula VP debe de plantearnos como diagn&#243;stico diferencial la migraci&#243;n del cat&#233;ter a la bolsa escrotal&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">After shunts hardware was developed around 1950&#44; the standard treatment for hydrocephalus has been the placement of a ventriculoatrial or ventriculoperitoneal shunt&#46; Ventriculoperitoneal &#40;VP&#41; shunt is the preferred procedure today&#46; Although it is a safe and well tolerated method&#44; many complications of VP shunting have been described in the literature&#46; We are reporting the case of bilateral and sequential migration of the peritoneal catheter to scrotum in a 6-month-old infant&#46; Complications related to the peritoneal catheter are reviewed and the ethiology and management of this complication are outlined&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Porras Estrada&#44; L&#46;F&#46;&#59; Fern&#225;ndez Portales&#44; I&#46;&#59; Cabezudo Artero&#44; J&#46;M&#46;&#59; Rodr&#237;guez-S&#225;nchez&#44; J&#46;A&#46;&#59; Lorenzana Honrado&#44; L&#46;&#59; Fern&#225;ndez Vigo&#58; Migraci&#243;n bilateral de cat&#233;ter ventriculoperitoneal a bolsa escrotal&#46; Neurocirug&#237;a 1999&#59; 10&#58; 164&#8211;170&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliograf&#237;a"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:33 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Colonic complications of ventriculoperitoneal shunts"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46; Abu-Dalu"
                            1 => "D&#46; Pode"
                            2 => "M&#46; Hadani"
                            3 => "A&#46; Sahar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1983"
                        "volumen" => "13"
                        "paginaInicial" => "167"
                        "paginaFinal" => "169"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6888697"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of protein content in CSF ascites following ventriculoperitoneal shunting"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46;B&#46; Adegbite"
                            1 => "M&#46; Khan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1982.57.3.0423"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1982"
                        "volumen" => "57"
                        "paginaInicial" => "423"
                        "paginaFinal" => "425"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7097343"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "A&#46; Adeloye"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1973.38.6.0758"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1973"
                        "volumen" => "38"
                        "paginaInicial" => "758"
                        "paginaFinal" => "759"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4710655"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Unusual abdominal complications of ventriculo-peritoneal shunts"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "F&#46;P&#46; Agha"
                            1 => "F&#46;A&#46; Amendola"
                            2 => "K&#46;K&#46; Shirazi"
                            3 => "B&#46;E&#46; Amendola"
                            4 => "W&#46;F&#46; Chandler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.146.2.6849079"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1983"
                        "volumen" => "146"
                        "paginaInicial" => "323"
                        "paginaFinal" => "326"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6849079"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perforaci&#243;n intestinal y prolapso anal de un cat&#233;ter de derivaci&#243;n ventr&#237;culo-peritoneal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Asensio"
                            1 => "A&#46; P&#233;rez"
                            2 => "C&#46; Marhuenda"
                            3 => "A&#46; Presedo"
                            4 => "J&#46; Boix-Ochoa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Act Ped Esp"
                        "fecha" => "1992"
                        "volumen" => "50"
                        "paginaInicial" => "700"
                        "paginaFinal" => "702"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complicaciones abdominales en la edad pedi&#225;trica de las derivaciones ventr&#237;culo-peritoneales"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Bosch"
                            1 => "J&#46;M&#46; Poch"
                            2 => "F&#46;A&#46; Moraga"
                            3 => "P&#46; Terradas"
                            4 => "E&#46; Rubio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Neurocirug&#237;a"
                        "fecha" => "1990"
                        "volumen" => "1"
                        "paginaInicial" => "293"
                        "paginaFinal" => "296"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ascites complicating ventriculo-peritoneal shunting in an adult"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Cummings"
                            1 => "V&#46;K&#46;H&#46; Sonntag"
                            2 => "R&#46;M&#46; Scott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg&#46; Neurol&#46;"
                        "fecha" => "1976"
                        "volumen" => "6"
                        "paginaInicial" => "135"
                        "paginaFinal" => "136"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/951653"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Peritoneal bypass in the treatment of hydrocephalus&#58; historical review and abdominal complications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;I&#46; Davidson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurol Neurosurg Psychiatry"
                        "fecha" => "1976"
                        "volumen" => "39"
                        "paginaInicial" => "640"
                        "paginaFinal" => "646"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/136498"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46; Doh"
                            1 => "H&#46; Bae"
                            2 => "K&#46; Lee"
                            3 => "I&#46; Yun"
                            4 => "B&#46; Byun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1995"
                        "volumen" => "43"
                        "paginaInicial" => "340"
                        "paginaFinal" => "343"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7792702"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complications of ventriculo- atrial shunts&#58; a review of 455 cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46;M&#46; Forrest"
                            1 => "G&#46;W&#46; Cooper"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1968"
                        "volumen" => "29"
                        "paginaInicial" => "506"
                        "paginaFinal" => "512"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Peroral extrusion of a ventriculoperitoneal shunt catheter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;A&#46; Griffith"
                            1 => "D&#46; DeFeo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1987"
                        "volumen" => "21"
                        "paginaInicial" => "259"
                        "paginaFinal" => "261"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3309717"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intra-abdominal complications following ventriculoperitoneal shunt procedures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;L&#46; Grosfeld"
                            1 => "D&#46;R&#46; Cooney"
                            2 => "J&#46; Smith"
                            3 => "R&#46;L&#46; Campbell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1974"
                        "volumen" => "54"
                        "paginaInicial" => "791"
                        "paginaFinal" => "796"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4431676"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Bilateral scrotal migration of abdominal catheters&#58; a rare complication of ventriculoperitoneal shunt"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;K&#46; Kwok"
                            1 => "C&#46;P&#46; Yue"
                            2 => "H&#46;L&#46; Wen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1989"
                        "volumen" => "31"
                        "paginaInicial" => "330"
                        "paginaFinal" => "331"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2928930"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transdiaphragmatic migration of a ventriculoperitoneal catheter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46; Lourie"
                            1 => "S&#46; Bajwa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1985"
                        "volumen" => "17"
                        "paginaInicial" => "324"
                        "paginaFinal" => "326"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3897892"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ascitis por l&#237;quido cefalorraqu&#237;deo como complicaci&#243;n en derivaci&#243;n ventriculoperitoneal&#58; Aportaci&#243;n de un caso y revisi&#243;n de la literatura"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "D&#46; Madruga"
                            1 => "F&#46; Vasconez"
                            2 => "M&#46; Praxedes"
                            3 => "R&#46; Cincuendez"
                            4 => "F&#46; Salazar"
                            5 => "B&#46; Taracena"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "An Esp&#46; Pediatr&#46;"
                        "fecha" => "1988"
                        "volumen" => "28"
                        "paginaInicial" => "565"
                        "paginaFinal" => "568"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3057973"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Peritoneo y &#243;rganos anexos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46;E&#46; Nelson"
                            1 => "V&#46;C&#46; Vaughan"
                            2 => "R&#46;J&#46; McKay"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:5 [
                        "paginaInicial" => "837"
                        "paginaFinal" => "843"
                        "serieVolumen" => "II"
                        "serieTitulo" => "Tratado de Pediatr&#237;a"
                        "serieFecha" => "1971"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intragastric migration of a ventriculoperitoneal shunt catheter"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Oi"
                            1 => "Y&#46; Shose"
                            2 => "N&#46; Asano"
                            3 => "T&#46; Oshio"
                            4 => "S&#46; Matsumoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1987"
                        "volumen" => "21"
                        "paginaInicial" => "255"
                        "paginaFinal" => "257"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3309715"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Abdominal pseudocysts and ascites formation after ventriculoperitoneal shunt procedures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;W&#46; Parry"
                            1 => "J&#46;F&#46; Schuhmacher"
                            2 => "R&#46;C&#46; Llewellyn"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1975.43.4.0476"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1975"
                        "volumen" => "43"
                        "paginaInicial" => "476"
                        "paginaFinal" => "480"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1159485"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Vaginal perforation as a complication of ventriculoperitoneal shunt&#46; Case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "C&#46;D&#46; Patel"
                            1 => "H&#46; Matlour"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1973.38.6.0761"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg"
                        "fecha" => "1973"
                        "volumen" => "38"
                        "paginaInicial" => "761"
                        "paginaFinal" => "762"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4710656"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The surgical treatment of hidrocephaluso"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "R&#46;H&#46; Pudenz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1981"
                        "volumen" => "15"
                        "paginaInicial" => "15"
                        "paginaFinal" => "21"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7256520"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1470204510702291"
                          "estado" => "S300"
                          "issn" => "14702045"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ventriculoperitoneal shunt malfunction due to migration of the abdominal catheter into the scrotum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "B&#46;Z&#46; Ram"
                            1 => "G&#46; Findler"
                            2 => "I&#46; Guttman"
                            3 => "R&#46; Cherniak"
                            4 => "N&#46; Knoller"
                            5 => "I&#46; Shacked"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Pedo Surg&#46;"
                        "fecha" => "1987"
                        "volumen" => "22"
                        "paginaInicial" => "1045"
                        "paginaFinal" => "1046"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Extrusion of abdominal catheter of ventriculoperitoneal shunt into the scrotum&#46; Case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46;S&#46; Ramani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1974.40.6.0772"
                      "Revista" => array:6 [
                        "tituloSerie" => "J&#46; Neurosurg"
                        "fecha" => "1974"
                        "volumen" => "40"
                        "paginaInicial" => "772"
                        "paginaFinal" => "773"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4826603"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Asymptomatic perforated viscus and gram-negative ventriculitis as a complication of valve-regulated ventriculoperitoneal shunts"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;R&#46; Rubin"
                            1 => "N&#46;R&#46; Ghatak"
                            2 => "P&#46; Visudhipan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1972.37.5.0616"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1972"
                        "volumen" => "37"
                        "paginaInicial" => "616"
                        "paginaFinal" => "618"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5076381"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intestinal volvulus secondary to a ventriculoperitoneal shunt"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "T&#46;H&#46; Sakoda"
                            1 => "J&#46;A&#46;J&#46; Maxwell"
                            2 => "C&#46;E&#46; Brackett"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1971.35.1.0095"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1971"
                        "volumen" => "35"
                        "paginaInicial" => "95"
                        "paginaFinal" => "96"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5570775"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prolapso de una v&#225;lvula de derivaci&#243;n ventriculoperitoneal a trav&#233;s del recto"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;R&#46; S&#225;nchez Jarqu&#237;n"
                            1 => "R&#46; Cord&#243;n"
                            2 => "R&#46; Gir&#243;n Romero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cir Pediatr"
                        "fecha" => "1966"
                        "volumen" => "9"
                        "paginaInicial" => "122"
                        "paginaFinal" => "124"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9131971"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Colonic perforation by ventriculoperitoneal shunts"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "R&#46;B&#46; Snow"
                            1 => "M&#46;H&#46; Lavyne"
                            2 => "R&#46;A&#46;R&#46; Fraser"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Surg Neurol"
                        "fecha" => "1986"
                        "volumen" => "25"
                        "paginaInicial" => "173"
                        "paginaFinal" => "177"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3941987"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Thoracic complications of ventriculoperitoneal shunts&#58; Case report and review of the literature"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "E&#46; Taub"
                            1 => "M&#46;H&#46; Lavynej"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1994"
                        "volumen" => "34"
                        "paginaInicial" => "181"
                        "paginaFinal" => "184"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8121558"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ascitis por l&#237;quido cefalorraqu&#237;deo en una paciente portadora de una derivaci&#243;n ventriculoperitoneal"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "P&#46; Terradas"
                            1 => "F&#46;A&#46; Moraga"
                            2 => "M&#46; Roig"
                            3 => "J&#46;M&#46; Poch"
                            4 => "A&#46; Guti&#233;rrez"
                            5 => "J&#46;C&#46; Carre&#241;o"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "An&#46; Esp&#46; Pediatr"
                        "fecha" => "1988"
                        "volumen" => "28"
                        "paginaInicial" => "165"
                        "paginaFinal" => "167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3355034"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrahepatic migration of a peritoneal shunt catheter&#58; Case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46; Touho"
                            1 => "M&#46; Nakauchi"
                            2 => "T&#46; Tasawa"
                            3 => "J&#46; Nakagawa"
                            4 => "J&#46; Karasawa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1987"
                        "volumen" => "21"
                        "paginaInicial" => "258"
                        "paginaFinal" => "259"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3309716"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Extrusion of a Raimondi peritoneal catheter from the thigh"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;S&#46; Turner"
                            1 => "J&#46; Goodman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Neurosurgery"
                        "fecha" => "1989"
                        "volumen" => "25"
                        "paginaInicial" => "833"
                        "paginaFinal" => "835"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2586739"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ascites from a ventriculoperitoneal shunt"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;J&#46; Weidmann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1975.43.2.0233"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1975"
                        "volumen" => "43"
                        "paginaInicial" => "233"
                        "paginaFinal" => "235"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1081128"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Scrotal migration of a ventriculo-peritoneal shunt&#58; report of a case"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46;W&#46; Wong"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Formos Med Assoc"
                        "fecha" => "1994"
                        "volumen" => "93"
                        "paginaInicial" => "64"
                        "paginaFinal" => "641"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebrospinal fluid ascites complicating ventriculoperitoneal shunting"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;A&#46; Yount"
                            1 => "M&#46;C&#46; Glazier"
                            2 => "J&#46;K&#46; Mealey"
                            3 => "J&#46;E&#46; Kalsbeck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3171/jns.1984.61.1.0180"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Neurosurg"
                        "fecha" => "1984"
                        "volumen" => "61"
                        "paginaInicial" => "180"
                        "paginaFinal" => "183"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6726396"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/11301473/0000001000000002/v1_201305151007/S1130147399709826/v1_201305151007/es/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/11301473/0000001000000002/v1_201305151007/S1130147399709826/v1_201305151007/es/main.pdf?idApp=UINPBA00004B&text.app=https://revistaneurocirugia.com/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1130147399709826?idApp=UINPBA00004B"
]
Share
Journal Information
Vol. 10. Issue 2.
Pages 164 (January 1999)
Share
Share
Download PDF
More article options
Vol. 10. Issue 2.
Pages 164 (January 1999)
Migración bilateral de catéter ventriculoperitoneal a bolsa escrotal
Bilateral scrotal migration of a ventriculoperitoneal shunt
Visits
1886
L.F. Porras Estrada, I. Fernández Portales, J.M. Cabezudo Artero, J.A. Rodríguez-Sánchez, L. Lorenzana Honrado
Servicio de Neurocirugía. Hospital Clínico Universitario Infanta Cristina. Badajoz
Fernández Vigo*
* Cátedra de Oftalmología. Hospital Clínico Universitario Infanta Cristina. Badajoz
This item has received
Article information
Resumen

A partir del desarrollo técnico de los sistemas valvulares en la década de los 50, comienza a tratarse la hidrocefalia mediante el uso de derivaciones ventrículoatriales (VA) y posteriormente ventrículo-peritoneales (VP) siendo estas últimas las más frecuentemente utilizadas. Si bien se trata de formas de tratamiento eficaces y bien toleradas no están exentas de complicaciones.

Se presenta un caso de complicación de válvula VP por migración del extremo abdominal a las bolsas escrotales de forma secuencial. Los autores citan las diversas complicaciones del extremo abdominal de las válvulas y en particular la asociación a hernia inguinal con o sin hidrocele. Tras exponer las diferentes hipótesis sugeridas en esta asociación, se resaltan ciertos aspectos clínicos-diagnósticos y puntualizan algunas consideraciones sobre el tratamiento quirúrgico de esta complicación.

Para los autores la existencia de un hidrocele en un niño portador de válvula VP debe de plantearnos como diagnóstico diferencial la migración del catéter a la bolsa escrotal.

Palabras clave:
Complicación
Derivación ventrículo-peritoneal
Escroto
Hidrocefalia
Hidrocele
Migración valvular
Proceso vaginal
Summary

After shunts hardware was developed around 1950, the standard treatment for hydrocephalus has been the placement of a ventriculoatrial or ventriculoperitoneal shunt. Ventriculoperitoneal (VP) shunt is the preferred procedure today. Although it is a safe and well tolerated method, many complications of VP shunting have been described in the literature. We are reporting the case of bilateral and sequential migration of the peritoneal catheter to scrotum in a 6-month-old infant. Complications related to the peritoneal catheter are reviewed and the ethiology and management of this complication are outlined.

Key words:
Catheter migration
Complication
Hydrocele
Hydrocephalus
Processus vaginales
Scrotum
Ventriculoperitoneal shunt

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?