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Abnormal presentation of ascending cholangitis

Mark Scaife1, Ryan Abegglen1, Christina Vila1

  • 1Department of Surgery UPMC Mercy 1400 Locust St Pittsburgh 15219 Pennsylvania.

Clinical Case Reports
|June 9, 2018
PubMed

Insights

Ventriculo-peritoneal shunts and other types are effective for hydrocephalus treatment. However, catheter retrieval can be challenging, potentially leading to serious complications.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Medical Device Complications

Background:

  • Hydrocephalus is a condition characterized by excess cerebrospinal fluid in the brain's ventricles.
  • Various shunts, including ventriculo-peritoneal, -gallbladder, -pleural, -atrial, and -jugular, are used for treatment.
  • Catheter retrieval after shunt placement can present significant difficulties.

Purpose of the Study:

  • To highlight the challenges associated with retrieving shunt catheters.
  • To underscore the potential for unforeseen complications arising from retained catheters.

Main Methods:

  • Review of clinical cases involving shunt placement and retrieval.
  • Analysis of complications associated with retained shunt catheters.

Main Results:

  • Retrieval of shunt catheters is frequently difficult, with a risk of incomplete removal.
  • Retained catheter fragments or entire catheters can lead to unexpected adverse events.

Conclusions:

  • While various shunts are viable for hydrocephalus, careful surgical technique is crucial.
  • Awareness of potential retrieval difficulties and associated complications is essential for patient management.

Keywords:
Ascending cholangitisendoscopic retrievalretained shuntshunt fragmentventricular shunt

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