دورية أكاديمية

Colonic perforation as a complication of ventriculoperitoneal shunt: a case report.

التفاصيل البيبلوغرافية
العنوان: Colonic perforation as a complication of ventriculoperitoneal shunt: a case report.
المؤلفون: Martinez Hernández-Magro P; Colon and Rectal Surgery Department, Speciality Hospital National Medical Center 21st Century IMSS, Mexico City, Mexico. paulinomhm@hotmail.com, Barrera Román C, Villanueva Sáenz E, Zavala MJ
المصدر: Techniques in coloproctology [Tech Coloproctol] 2006 Dec; Vol. 10 (4), pp. 353-5. Date of Electronic Publication: 2006 Nov 27.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Italia Country of Publication: Italy NLM ID: 9613614 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1123-6337 (Print) Linking ISSN: 11236337 NLM ISO Abbreviation: Tech Coloproctol Subsets: MEDLINE
أسماء مطبوعة: Publication: <2001->: Milano, Italy : Springer-Verlag Italia
Original Publication: Rome : UCP Club,
مواضيع طبية MeSH: Colon/*injuries , Intestinal Perforation/*etiology , Intestinal Perforation/*surgery , Ventriculoperitoneal Shunt/*adverse effects, Adult ; Female ; Humans ; Hydrocephalus/therapy ; Intestinal Perforation/diagnosis
مستخلص: Late perforation after ventriculoperitoneal (VP) shunting is extremely rare. Colonic perforation is uncommon and represents 0.1%-0.7% of abdominal complications. Colonic perforation can challenge diagnostic and therapeutic decisions, and there are no clear guidelines on the management of this problem. We present a 34-year-old woman who was admitted for a 1-week history of sensation of a foreign body through the anus at the time of bowel movements. She had previously undergone a VP derivation for hydrocephalus secondary to neurocysticercosis. Plain abdominal radiographs demonstrated the shunt within the colonic lumen and through the descendening and sigmoid colon. The shunt was exteriorized in the cervical area and a laparotomy was performed with a primary two-layer colonic close. The patient received antibiotic therapy for 2 weeks with good outcome. Percutaneous and endoscopic approaches have been reported in patients with no abdominal signs. Prompt recognition of this complication is critical to avoid high mortality rates.
تواريخ الأحداث: Date Created: 20061123 Date Completed: 20070306 Latest Revision: 20070112
رمز التحديث: 20221213
DOI: 10.1007/s10151-006-0308-8
PMID: 17115308
قاعدة البيانات: MEDLINE
الوصف
تدمد:1123-6337
DOI:10.1007/s10151-006-0308-8