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Operative gastric perforation: a rare complication of ventriculoperitoneal shunt
C L Christoph1, C A Poole, P S Kochan
1Department of Radiology, University of Miami, Jackson Memorial Hospital, 1611 NW 12th Avenue, Miami, FL 33136, USA.
Abstract:
Complications of ventriculoperitoneal shunts are reported in 24-47 % of cases. These include mechanical malfunction and infection, cerebrospinal fluid collection, shunt migration, and visceral perforation. Intestinal perforation, most commonly colonic, may be associated with meningitis or cerebral abscess. Gastric migration has been previously described as a late complication related to the use of stiff Raimondi coil-spring peritoneal catheters in children with malnutrition and abdominal adhesions. We report a case of operative gastric perforation, a rare complication which was detected prior to development of symptoms.
Insights
Ventriculoperitoneal shunt complications occur in up to 47% of cases. This study highlights a rare case of operative gastric perforation, a complication detected before symptoms arose.
Area of Science:
- Neurosurgery
- Gastroenterology
Background:
- Ventriculoperitoneal shunts are crucial for managing hydrocephalus but are associated with significant complication rates (24-47%).
- Common complications include mechanical failure, infection, cerebrospinal fluid (CSF) collection, shunt migration, and visceral perforation.
- Intestinal perforation, particularly colonic, can lead to serious conditions like meningitis or cerebral abscesses.