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Two cases of colonic perforation by a ventriculoperitoneal shunt are presented. One was diagnosed by routine abdominal roentgenograms, the other by instilling metrizamide into the distal shunt tubing. A review of the 32 previously reported cases revealed a mortality of 15%. Bowel perforation from a ventriculoperitoneal shunt should be managed with intravenous antibiotics as well as removal of the shunt. If the patient has a benign abdominal examination and no prior history of abdominal complications from a ventriculoperitoneal shunt then the abdominal catheter can be removed percutaneously. However, in the presence of severe peritonitis, or a previous history of serious abdominal problems from the shunt catheter, such as an infected pseudocyst or other intraabdominal pathology, such as active regional enteritis or an abscess, we recommend laparotomy for removing the catheter with primary closure of the bowel perforation.
R B Snow, and
M H Lavyne, and
R A Fraser
August 1983,
Neurosurgery,
R B Snow, and
M H Lavyne, and
R A Fraser
July 1999,
The British journal of radiology,
R B Snow, and
M H Lavyne, and
R A Fraser
September 2004,
Pediatric radiology,
R B Snow, and
M H Lavyne, and
R A Fraser
September 2018,
British journal of hospital medicine (London, England : 2005),
R B Snow, and
M H Lavyne, and
R A Fraser
January 1998,
Surgical neurology,
R B Snow, and
M H Lavyne, and
R A Fraser
June 2024,
Digestive diseases and sciences,
R B Snow, and
M H Lavyne, and
R A Fraser
December 2016,
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery,
R B Snow, and
M H Lavyne, and
R A Fraser
January 2011,
Journal of Indian Association of Pediatric Surgeons,
R B Snow, and
M H Lavyne, and
R A Fraser
January 1988,
Journal of pediatric gastroenterology and nutrition,
R B Snow, and
M H Lavyne, and
R A Fraser
December 2006,
Techniques in coloproctology,
