Complications of Peritoneal Shunts

Hinojosa, J.

doi:10.1007/978-3-319-09961-3_13

Cited by 4 publications

(4 citation statements)

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“…[1345] Disconnection of VPS catheter is also a well-known complication and is observed more in multicomponent shunt systems. [67] This present case is a report of VPS catheter disconnection, downward shunt migration, and silent bowel perforation by peritoneal catheter occurred in a child at the same time.…”

Section: Introductionmentioning

confidence: 76%

“…Colon is the most common site for hollow viscus perforation by peritoneal catheter, although perforation of the small bowel, stomach, and other hollow viscus has also been reported. [13456] Majority of the cases of bowel perforation and nonenteric hollow viscus perforation by the peritoneal catheter of VPS occurred in children, and most of them presented with extrusion of the peritoneal catheter from the natural orifices. [1345]…”

Section: Discussionmentioning

confidence: 99%

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Ventriculoperitoneal Shunt Disconnection, Shunt Migration, and Silent Bowel Perforation in a 10-Year-Old Boy

Ghritlaharey

2019

Journal of Neurosciences in Rural Practice

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A 10-year-old boy was admitted with chest wall infection around the implanted ventriculoperitoneal shunt (VPS) catheter of 5 days. He had received a right-sided, medium pressure, whole-length VPS for hydrocephalus, following tubercular meningitis at the age of 3 years. Seven years, 9 months following VPS implantation, he was admitted with shunt tract infection at the chest area for 5 days. He had neither fever nor features of meningitis, raised intracranial pressure, or peritonitis. His clinical examination and radiological investigations revealed that the VPS catheter was disconnected at the cranial site, and it was migrated downward up to the upper chest. He was managed well with the removal of the entire VPS catheter. The removed peritoneal catheter along with the shunt chamber was loaded with fecal matter and was presumed that the peritoneal catheter was within the colon. His postoperative recovery was excellent. This is a rare case of VPS catheter disconnection, shunt migration, and silent bowel perforation by peritoneal catheter, and all the above-mentioned complications were detected in a child at the same time and were managed well with the removal of the entire VPS catheter.

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Section: Introductionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Ventriculoperitoneal Shunt Disconnection, Shunt Migration, and Silent Bowel Perforation in a 10-Year-Old Boy

Ghritlaharey

2019

Journal of Neurosciences in Rural Practice

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“…Knowledge of possible abdominal diseases in patients with ventriculoperitoneal shunt is important for proper management in these cases [ 1 , 4 -7 ]. In this chapter, we propose management guidelines for patients with VPS-associated abdominal complications, such as APC, bowel-related complications, and ascites based on our experience at a tertiary-care hospital [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Complications in Patients with a Ventriculoperitoneal Shunt

Marquez Basilotta,

Argañaraz,

Mantese

2023

Frontiers in Hydrocephalus

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Hydrocephalus is a complex disease. The placement of a ventriculoperitoneal shunt is a treatment that has been in use since the 1960s. Although in recent years, the development of the endoscopic technique has gained importance in the treatment of hydrocephalus, the use of valves continues to be used. Valves can be associated with different complications. In this chapter, we develop the abdominal complications associated with these devices. Both in patients with abdominal pseudocysts and with intestinal infections or ascites, they should be studied with brain tomography, x-rays of the valvular system, and ultrasound. The first step of treatment in these patients is to define if the valve works correctly or not. The second topic to take into account is the presence of infection associated with the catheter, which is detected by taking a sample of cerebrospinal fluid. The treatment of these valve-associated complications in many cases requires an approach involving multiple specialists, general practitioners, infectious diseases specialists, and general surgeons, among others. In patients with ventriculoperitoneal shunt-related abdominal complications, surgical treatment depends on symptom severity and the possible associated infection at the time of diagnosis.

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“…En 1568 el cardenal Aquaviva fue a Madrid y a Felipe II para ofrecerle los pésames papales por la muerte de don Carlos. 70 De vuelta a Italia el cardenal se hospedó en el Palacio del Duque Martín IV, abuelo paterno de nuestra duquesa. Entre los del séquito del Cardenal figuraba nuestro autor.…”

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Lechos de rosas y de espinas: Juana Pernestán (1556-1631) María Luisa de Aragón (1585–1623) y Don Quijote (II: 1615)

Weiner¹

2018

Ibero-Americana Pragensia

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The purpose of this essay is to explain the rancor between Cervantes and the Dukes of Villahermosa María Luisa de Aragón and Carlos de Borja (El Quijote, vol. II, capítulos 30-50). Her mother was the Bohemian noblewoman Juana Pernestán who in 1581 journeyed to Spain with Maximillian the Second's widow the Empress María (1528-1603). When in Spain Lady Juana married don Francisco the sixth Duke of Villahermosa. Don Francisco later died at the hands of Philip II because of his involvement in the Antonio Pérez affair. Initially this incident caused don Francisco's family to suffer considerable social humiliation and economic loss from which the family eventually recovered. There was one likely means by which the Dukes de Villahermosa could recover their lofty status and demonstrate their loyalty to the crown. That was by commissioning Lope de Vega to write two genealogical plays to glorify the family's past. These plays have disappeared. In my study I suggest that Cervantes would have liked to have received this commission. But it was not to be. This rejection would have been one of the reasons to seek revenge against the Dukes de Villahermosa in Quijote. The Duke of Villahermosa and Cervantes were members of several academies. In such an environment controversy and disagreement often resulted in bitter hatred. There probably were other grievances as well.

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Complications of Peritoneal Shunts

Cited by 4 publications

References 71 publications

Ventriculoperitoneal Shunt Disconnection, Shunt Migration, and Silent Bowel Perforation in a 10-Year-Old Boy

Ventriculoperitoneal Shunt Disconnection, Shunt Migration, and Silent Bowel Perforation in a 10-Year-Old Boy

Abdominal Complications in Patients with a Ventriculoperitoneal Shunt

Lechos de rosas y de espinas: Juana Pernestán (1556-1631) María Luisa de Aragón (1585–1623) y Don Quijote (II: 1615)

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