2008
DOI: 10.1111/j.1744-1633.2008.00407.x
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Transanal protrusion of ventriculoperitoneal shunt

Abstract: A 54-year-old woman with a history of ventriculoperitoneal shunt insertion presented with per-anal protrusion of a tube after defecation. Computed tomography of the abdomen revealed the presence of the shunt in the colon. The patient underwent emergency surgery for removal of the shunt system, with external ventricular drainage. Anal protrusion is a rare presentation following bowel perforation of ventriculoperitoneal shunts.

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Cited by 11 publications
(12 citation statements)
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References 34 publications
(107 reference statements)
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“…12) [11]. The exact mechanism is unclear but several etiologies have been suggested in the literature including the use of trocar technique during placement, silicone allergy, fibrous sheath formation, tubing stiffness, and local erosive pressure [11][12][13][14][15]. The mortality rate associated with bowel perforation due to a shunt is as high as 15% [16], in part due to the development of CNS infection.…”
Section: Migrationmentioning
confidence: 95%
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“…12) [11]. The exact mechanism is unclear but several etiologies have been suggested in the literature including the use of trocar technique during placement, silicone allergy, fibrous sheath formation, tubing stiffness, and local erosive pressure [11][12][13][14][15]. The mortality rate associated with bowel perforation due to a shunt is as high as 15% [16], in part due to the development of CNS infection.…”
Section: Migrationmentioning
confidence: 95%
“…Shunt tubing has been reported to perforate bowel in 0.1-0.7% of patients (Fig. 12) [11]. The exact mechanism is unclear but several etiologies have been suggested in the literature including the use of trocar technique during placement, silicone allergy, fibrous sheath formation, tubing stiffness, and local erosive pressure [11][12][13][14][15].…”
Section: Migrationmentioning
confidence: 97%
“…Çocukiarda komplikasyonlar eriçkinden daha sik geli §mektedir. §antin genitoüriner sisteme (mesane, vajen, ureter), sindirim sistemine (mide, kolon), diyaframi a §ip toraksa ve hatta kalbe göc etmesi, insizyon yerlerinden ve göbekten kann di §ina çikmasi gibi ilginç komplikasyonlar sik olmamakia birlikte görülebilir (5). §anta bagli bagirsak delinmesi nadir görülmektedir ve kateterin anüsden çiktigi da görülebilir (6)(7)(8)(9)(10) …”
Section: Giri §unclassified
“…Kateterin kolon duvanna basi yaparak zamanla duvari açindirip delinmeye neden oldugu one sürülmektedir (5,17). Miyelomeningoselli ve doguçtan hidrosefalili hastalar zayif uyariya bagli olarak bagirsak duvarmm zayifligi nedeniyle delinmeye yatkindirlar (6).…”
Section: Tartiçmaunclassified
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