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

被引：0

作者：

Martinez Hernández-Magro P. ^{[1
]}

Barrera Román C. ^{[1
]}

Villanueva Sáenz E. ^{[1
]}

Zavala M.J. ^{[1
]}

机构：

[1] Colon and Rectal Surgery Department, Speciality Hospital, National Medical Center 21St Century, Mexico City

来源：

Techniques in Coloproctology | 2006年 / 10卷 / 4期

关键词：

Abdominal complications; Colonic perforation; Therapeutic options; Ventriculoperitoneal shunt;

D O I：

10.1007/s10151-006-0308-8

中图分类号：

学科分类号：

摘要：

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 colonie 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 closure of the colonic perforation. The patient received antibiotic therapy for 2 weeks with good outcome. Percutaneous and endoscopie approaches have been reported in patients with no abdominal signs. Prompt recognition of this complication is critical to avoid high mortality rates.

引用

页码：353 / 355

页数：2

共 18 条

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