Sandoval BMA, Granados LR, Sandoval OL, Olivares PJL, Santos FJA

Language: Spanish
References: 24
Page: 409-412
PDF size: 126.63 Kb.

ABSTRACT

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. Conclusions: This complication is rare. It must be treated urgently and with the right treatment it has a good prognosis.

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