Abdominal complications of ventriculoperitoneal shunts in children

Brian D Coley1, Edward J Kosnik

  • 1Department of Radiology, Columbus Children's Hospital, 700 Children's Drive, Columbus, Ohio 43205, USA. bcoley@chi.osu.edu

Insights

Pediatric ventricular peritoneal shunts are common but prone to abdominal complications like infection. Recognizing these subtle imaging findings is crucial for timely diagnosis and management in complex children.

Area of Science:

  • Pediatric Neurosurgery
  • Medical Imaging
  • Gastrointestinal Complications

Background:

  • Ventricular peritoneal shunting is a frequent pediatric neurosurgical intervention.
  • Shunts in children are susceptible to various complications, particularly abdominal issues.
  • Abdominal complications, often infection-related, can be challenging to diagnose in medically complex pediatric patients.

Purpose of the Study:

  • To review the spectrum of imaging findings associated with abdominal complications of ventricular peritoneal shunts in children.
  • To enhance the recognition of subtle abnormalities on medical imaging.
  • To aid clinicians in diagnosing shunt-related abdominal issues.

Main Methods:

  • Review of imaging findings in pediatric patients with abdominal shunt complications.
  • Analysis of subtle and overt abnormalities on various imaging modalities.
  • Correlation of imaging findings with clinical presentation and outcomes.

Main Results:

  • Abdominal complications of shunts present with a range of imaging abnormalities.
  • Infection and its sequelae are common causes of these complications.
  • Imaging findings can be subtle, requiring expert interpretation.

Conclusions:

  • Accurate interpretation of imaging is vital for managing abdominal shunt complications in children.
  • Understanding the diverse imaging manifestations aids in early detection.
  • This review provides a guide to recognizing these complex pediatric neurosurgical issues.

Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Increased Intracranial Pressure ll: Pathophysiology01:29

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...