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Knotted bowel: small-bowel obstruction from coiled peritoneal shunt catheters. Report of two cases
A Sanan1, S J Haines, S L Nyberg
1Department of Neurosurgery, University of Minnesota Hospital and Clinic, Minneapolis, USA.
Journal of Neurosurgery
|June 1, 1995
Abstract:
Knotting of a peritoneal catheter around a loop of bowel is a rare occurrence, which may lead to bowel obstruction. The incomplete removal of two ventriculoperitoneal shunts resulted in two cases of iatrogenically knotted peritoneal catheters. One patient underwent a laparotomy for relief of obstruction and the other was successfully treated by uncoiling the catheter by means of a wire passed into its lumen. A plan for management of a knotted peritoneal catheter is outlined.