Urinary perforation in spina bifida: Neurosurgical and infectious consequences

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Deborah Callanan1, Timothy Phillips2, Micam Tullous3

  • 1Pediatric Emergency Medicine, Baylor College of Medicine and Children's Hospital of San Antonio, San Antonio, TX, USA.

SAGE Open Medical Case Reports
|December 26, 2017
PubMed

Insights

Pediatricians face challenges managing medically complex children with devices. Prompt consultation with specialists is crucial for recognizing and treating device-related complications, such as shunt issues in spina bifida patients.

Area of Science:

  • Pediatric Medicine
  • Medical Device Complications

Background:

  • Increasing prevalence of medically complex children necessitates advanced care strategies.
  • Pediatricians and emergency physicians require updated knowledge on device-related complications.

Observation:

  • A case of a child with spina bifida experiencing vesicostomy perforation, peritonitis, and septic shock.
  • The patient required urgent externalization of his ventriculoperitoneal shunt.

Findings:

  • Device-related complications in medically complex children can be severe and life-threatening.
  • Effective management requires prompt multidisciplinary consultation.

Implications:

  • Pediatricians and emergency physicians must collaborate with specialists for comprehensive patient care.
  • Disseminating information on procedural complications beyond surgical literature is vital for broader clinical awareness.

Keywords:
Pediatricsneurosurgeryurology

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