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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
Summary
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.
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