Transanal Repair of Colonic Perforation due to Ventriculoperitoneal Shunt-Case Report and Review of the Literature
Journal
Journal of the Formosan Medical Association
Journal Volume
109
Journal Issue
6
Pages
472-475
Date Issued
2010
Author(s)
Abstract
Colonic perforation is an extremely rare complication following ventriculoperitoneal (VP) shunting. Laparotomy to repair the perforation site is usually required for patients with peritonitis. Here we report colonic perforation due to VP shunt in a 4-year-old girl, presenting with a distal catheter protruding out of the anus as well as symptoms and signs of peritonitis. The distal catheter was removed and the perforation site was repaired successfully via the anus. Postoperative course was uneventful. Trans-anal repair of the colonic perforation after removal of the distal shunt may be considered an alternative choice for managing this kind of complication. ? 2010 Formosan Medical Association & Elsevier.
SDGs
Other Subjects
antibiotic agent; C reactive protein; glucose; hemoglobin; protein; abdominal distension; abdominal pain; abdominal radiography; abscess; anorexia; antibiotic therapy; anus surgery; article; brain ventricle peritoneum shunt; case report; catheter; catheter removal; central nervous system infection; cerebrospinal fluid culture; child; colon perforation; constipation; convalescence; crying; Escherichia coli; feeding; female; hospital discharge; human; interpersonal communication; intestine sound; leukocyte count; mental deficiency; peritonitis; postoperative period; preschool child; Streptococcus; transanal repair; Anal Canal; Catheterization; Child, Preschool; Colon; Colonic Diseases; Female; Foreign-Body Migration; Humans; Intestinal Perforation; Treatment Outcome; Ventriculoperitoneal Shunt
Type
journal article