Bowel perforation presenting with acute abdominal pain and subcutaneous emphysema in a 14-year-old girl with an abandoned distal peritoneal shunt catheter: case report
| Autor: | Luigi Bassani, Luke K Barr, Gerald J Riccardello |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Meningomyelocele Adolescent Exploratory laparotomy medicine.medical_treatment Peritonitis Ventriculoperitoneal Shunt Diagnosis Differential 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Foreign-Body Migration medicine Humans business.industry General Medicine medicine.disease Subcutaneous Emphysema Abdominal Pain Hydrocephalus Surgery Catheter medicine.anatomical_structure Intestinal Perforation 030220 oncology & carcinogenesis Abdomen Female Radiology Differential diagnosis medicine.symptom Tomography X-Ray Computed business 030217 neurology & neurosurgery Subcutaneous emphysema |
| Zdroj: | Journal of Neurosurgery: Pediatrics. 18:325-328 |
| ISSN: | 1933-0715 1933-0707 |
| DOI: | 10.3171/2016.3.peds15572 |
| Popis: | The authors report the case of 14-year-old girl with a history of myelomeningocele and previously shunt-treated hydrocephalus who presented with right-sided abdominal pain and subcutaneous emphysema that developed over a 1-week period. A CT scan of the patient's abdomen revealed a retained distal ventriculoperitoneal (VP) catheter with air tracking from the catheter to the upper chest wall. Given the high suspicion of the catheter being intraluminal, an exploratory laparotomy was performed and revealed multiple jejunal perforations. The patient required a partial small-bowel resection and reanastomosis for complete removal of the retained catheter. Six other similar cases of bowel perforation occurring in patients with abandoned VP and subdural-peritoneal shunts have been reported. The authors analyzed these cases with regard to age of presentation, symptomatic presentation, management, morbidity, and mortality. While there was 0% mortality associated with bowel perforation secondary to a retained distal VP catheter, the morbidity was significantly high and included peritonitis and small bowel resection. |
| Databáze: | OpenAIRE |
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