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Related Experiment Videos

Colonic perforation by ventriculoperitoneal shunts.

R B Snow, M H Lavyne, R A Fraser

    Surgical Neurology
    |February 1, 1986
    PubMed
    Summary

    Colonic perforation by ventriculoperitoneal shunts is rare but serious, with a 15% mortality rate. Management involves antibiotics and shunt removal, with percutaneous or surgical catheter extraction based on patient condition.

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    Area of Science:

    • Neurosurgery
    • Gastroenterology
    • Radiology

    Background:

    • Ventriculoperitoneal shunts are commonly used for hydrocephalus treatment.
    • Complications can include shunt malfunction, infection, and rarely, bowel perforation.
    • Colonic perforation by shunt tubing presents a diagnostic and management challenge.

    Observation:

    • Two cases of colonic perforation due to ventriculoperitoneal shunts are presented.
    • Diagnosis was achieved through abdominal roentgenograms and metrizamide instillation.
    • A literature review identified 32 prior cases with a 15% mortality.

    Findings:

    • Bowel perforation necessitates intravenous antibiotics and shunt removal.
    • Percutaneous catheter removal is suitable for patients with benign abdominal exams and no prior complications.
    • Laparotomy is recommended for severe peritonitis or significant intra-abdominal pathology.

    Implications:

    • Prompt diagnosis and appropriate management are crucial for reducing morbidity and mortality.
    • Tailoring the approach to catheter removal based on clinical presentation optimizes patient outcomes.
    • This highlights the importance of vigilance for gastrointestinal complications in patients with ventriculoperitoneal shunts.

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