| Autor: |
Alonso-Vanegas M; Department of Neurosurgery and Neuroradiology, Hospital Juárez de México, México., Alvarez JL, Delgado L, Mendizabal R, Jiménez JL, Sanchez-Cabrera JM |
| Jazyk: |
angličtina |
| Zdroj: |
Pediatric neurosurgery [Pediatr Neurosurg] 1994; Vol. 21 (3), pp. 192-4. |
| DOI: |
10.1159/000120834 |
| Abstrakt: |
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. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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