AI Article Synopsis
- Late perforation of the large bowel by a VP shunt catheter is very rare, with most reported cases resulting in death.
- This report highlights three patients who successfully received treatment for this complication, contrasting with previous cases.
- It's important to consider bowel perforation when a shunt infection involves gram-negative enteric organisms, as it can occur without peritonitis, and catheter removal can be done non-surgically.
Article Abstract
Late perforation of the large bowel by the abdominal catheter of a ventriculoperitoneal (VP) shunt is extremely rare. Four of the five reported patients subsequently died. We report here three patients who presented with this complication and were treated successfully. Bowel perforation by a VP shunt catheter should be considered when a shunt infection is secondary to gram-negative enteric organisms. It can occur without evidence of peritonitis, and the abdominal catheter can be removed percutaneously, thus avoiding a laparotomy.
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| http://dx.doi.org/10.1227/00006123-198308000-00011 | DOI Listing |
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