Resumo

SANDOVAL BALANZARIO, Miguel Antonio et al. Ventricular peritoneal shunt complication: bowel perforation, catheter migration through the rectum, report of three cases. Acta méd. Grupo Ángeles [online]. 2019, vol.17, n.4, pp.409-412.  Epub 27-Set-2021. ISSN 1870-7203.

Hydrocephaly is one of the most common nosological subjects in neurosurgery, its treatment abides a shunt of cerebrospinal fluid, most of the time to a peritoneal cavity. One of the most frequent complications in this type of surgery occurs at the distal catheter level, with the obstruction of it and the bowel perforation and movement of it. We report three cases of a large intestine perforation and catheter migration to the rectum. The patients were successfully treated by an exterior deviation, preventive treatment of a possible infection and placing the distal catheter again to the atrium. From an abdominal point of view an explorative laparotomy were performed, a colostomy in two cases and a primary suture on the last one. All the patients unfold satisfactorily.

Palavras-chave : Cerebrospinal fluid shunts; shunt malfunctions; bowel perforation; distal catheter migration; hydrocephaly.

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