Gastric perforation due to ventriculo-peritoneal shunt.

Abstract:

:Gastric perforation is a complication that can arise from ventriculo-peritoneal (VP) shunting. Careful examination of a newborn girl admitted to our department revealed several neurological problems. A VP shunt was inserted under direct visualization, leaving 20 cm of the catheter in the peritoneal cavity. The infant was discharged 6 days after surgery and readmitted 4 months later due to increasing head circumference and severe malnutrition. Physical examination revealed a soft abdomen, normal peristalsis, and no signs of peritoneal irritation. The patient was submitted to exploratory surgery, which showed that the catheter had penetrated about 6 cm into the stomach. The VP shunt was removed and replaced by a left ventriculo-atrial system. The patient evolved well and was discharged 5 days later. Probable causes of the perforation are discussed in this paper.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Alonso-Vanegas M,Alvarez JL,Delgado L,Mendizabal R,Jiménez JL,Sanchez-Cabrera JM

doi

10.1159/000120834

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

192-4

issue

3

eissn

1016-2291

issn

1423-0305

journal_volume

21

pub_type

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