scholarly journals Aseptic ascites and chemical meningitis following ventriculoperitoneal shunting for craniopharyngioma: a first case report

2021 ◽  
Author(s):  
Ghassen Gader ◽  
Skander Guediche ◽  
Mouna Rkhami ◽  
Ihsèn Zammel ◽  
Mohamed Badri
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Abdominal Distension ◽  
Cystic Craniopharyngioma ◽  
First Case ◽  
Ventriculoperitoneal Shunting ◽  
Chemical Meningitis

This case is about a child who had a ventriculoperitoneal shunt due to a hydrocephalus related to a cystic craniopharyngioma. Postoperative, he presented abdominal distension and meningismus. Imaging showed regression of the tumor. The cyst was drained by the shunt. No previous similar situations was reported in the literature.

INFANTILE BERIBERI ASSOCIATED WITH WERNICKE'S ENCEPHALOPATHY

PEDIATRICS ◽  
1958 ◽  
Vol 21 (3) ◽  
pp. 409-420
Author(s):  
Ruth Alice Davis ◽  
Abner Wolf
Keyword(s):  
Case Report ◽  
Abdominal Distension ◽  
Acute Illness ◽  
Wernicke’S Encephalopathy ◽  
Vitamin Supplementation ◽  
Wernicke's Encephalopathy ◽  
Excessive Sweating ◽  
Dietary History ◽  
First Case ◽  
Pathologic Findings

An infant, 5½ months of age, died after a brief acute illness characterized by irritability and somnolence leading terminally to coma, and by excessive sweating, abdominal distension, tachypnea and tachycardia. Acidosis and azotemia were marked. He was found at necropsy examination to have pathologic findings compatible with both beriberi and Wernicke's encephalopathy. Investigation of the dietary history and analysis of the formula fed the patient confirmed the suspicion of deficient intake of thiamine. This is the first case report in which the coexistence of these two pathologic conditions in a child proven to have had an inadequate diet, has been documented. It lends further support to the thesis that Wernicke's encephalopathy is caused by nutritional deficiency. The importance of vitamin supplementation of restricted diets used in the therapy of infantile eczema is emphasized.

Sepsis Caused by Bacterial Colonization of Migrated Distal Ventriculoperitoneal Shunt Catheter into the Pulmonary Artery: A First Case Report and Literature Review

2019 ◽  
Vol 126 ◽  
pp. 172-180 ◽  
Author(s):  
Edin Hajdarpašić ◽  
Almir Džurlić ◽  
Nevena Mahmutbegović ◽  
Salko Zahirović ◽  
Adi Ahmetspahić ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Pulmonary Artery ◽  
Ventriculoperitoneal Shunt ◽  
Bacterial Colonization ◽  
Shunt Catheter ◽  
First Case

scholarly journals Uncommon complications of ventriculoperitoneal shunt surgery: review of four cases and literature review

2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Aliyu Muhammad Koko ◽  
Nasiru Jinjiri Ismail ◽  
Ali Lasseini ◽  
Sahabi M. Saddiku
Keyword(s):  
Cerebrospinal Fluid ◽  
Ventriculoperitoneal Shunt ◽  
Abdominal Wound ◽  
Distal Catheter ◽  
Excellent Outcome ◽  
Post Surgery ◽  
First Case ◽  
Ventriculoperitoneal Shunting ◽  
Shunt Procedure

Abstract Background Ventriculoperitoneal shunt is one of the most popular cerebrospinal fluid diversion procedures worldwide. Complications are common, but uncommon complications are rarely reported in the literature making a standardized guideline on management of unusual complications unavailable. We report this series of uncommon complications managed in our centre to share our experience and contribute to the pool of literature on the management of these weird complications of ventriculoperitoneal shunting. Case presentation The first case was a 10-year-old girl who presented with headache, early morning vomiting and itching over the tract of the shunt in the neck. She has had ventriculoperitoneal shunt and excision and repair of encephalocele at the age of 3 months in our facility. On physical examination, she was conscious with a Glasgow coma score of 15, and shunt valve was hardened. She had removal of the shunt with intraoperative finding of calcified shunt tubing and the valve, and also cerebrospinal fluid was under high pressure that warranted re-insertion of another medium pressure shunt. She remained stable at last follow-up 3 months post-surgery. We managed two cases of shunt extrusion via the anus (a 1-year-old female infant and 9-year-old boy). None of the patients presented with evidence of peritonitis or shunt tract infection. The extruded shunts were removed under aseptic technique, and both patients had ventriculoperitoneal shunt re-inserted because of progression of hydrocephalus. They remained stable at last follow-up visits 6 months after surgery. The fourth case was a 9-month-old infant that presented with shunt extrusion via the abdominal wound site 3 weeks after ventriculoperitoneal shunt procedure. The child developed an abscess at the abdominal wound that ruptures spontaneously with extrusion of distal catheter, had no features of peritonitis and had shunt removed and re-inserted after 3 months. The child has remained stable. Conclusion Although ventriculoperitoneal shunt calcification and extrusion are rare, they do occur. None of our patients had peritonitis. Shunt removal and subsequent reinsertion in the presence of raised intracranial pressure from hydrocephalus confirms an excellent outcome.

scholarly journals A rare case of ventriculoperitoneal shunt knot causing intestinal obstruction in an adult

2019 ◽  
Vol 6 (2) ◽  
pp. 640
Author(s):  
Mayank Bhasin ◽  
Karamjot Singh Bedi ◽  
Tarun Chaudhary ◽  
Gurvansh S. Sachdeva ◽  
Shantanu Kumar Sahu
Keyword(s):  
Intestinal Obstruction ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Vp Shunt ◽  
Primary Surgery ◽  
First Case ◽  
Ventriculoperitoneal Shunting ◽  
History Of ◽  
Low Incidence

Despite high incidence of complications, Ventriculoperitoneal shunting for hydrocephalus is the cornerstone and the most common neurosurgical procedure. Ventriculoperitoneal shunt knot causing intestinal obstruction is an extremely rare complication needing surgical intervention. A 19 years old male with history of VP shunting in infancy for hydrocephalus with no history of any revision surgery presented in emergency with pain abdomen and multiple episodes of vomiting for 2 days. X ray showed dilated bowel loops with a coiled up VP shunt in the abdomen. Exploratory laparotomy showed multiple dilated bowel loops with a loop of VP shunt around ileal segment with dense fibrotic adhesions causing obstruction. Extensive adhesiolysis was done. Procedure underwent uneventful. Patient recovered swiftly in postoperative period and is currently asymptomatic after 6 months of surgery. Improved surgery skills and shunt design have prevented much of the morbidity of VP shunting. Most of the cases reported earlier were paediatric patients with history of repetitive handling of catheter. We believe this to be the first case of intestinal obstruction by a VPS knot in an adult with no history of manipulation after primary surgery. Due to low incidence it is difficult to clinically suspect such an extremely rare complication. Therefore, an awareness of VP shunt related complications in adult is essential.

scholarly journals A case of iatrogenic intussusception in adults: a rare case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Qiang Hu ◽  
Yuanshui Sun ◽  
Jianfeng Shi
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Color Change ◽  
Abdominal Distension ◽  
Recurrent Abdominal Pain ◽  
Abdominal Ct ◽  
Surgical Exploration ◽  
Intestinal Tube ◽  
First Case

Abstract Background Intussusception has a low incidence rate in adults. Many cases in adults are caused by tumors. Intussusception results from conditions other than tumors are uncommon. This is the first case report about intussusception that occurred after removing a long intestinal tube (LT). Case presentation A 69-year-old female complained of “recurrent abdominal pain with reduced flatus passage and frequency of bowel movement for 10 days” was admitted to the hospital. Plain abdominal radiography and abdominal CT upon admission showed intestinal obstruction. The patient’s abdominal pain was not relieved after symptomatic treatments, which involved fluid and electrolyte replacement, LT placement, spasmolytic agents, and analgesics. Hence, surgical exploration was carried out. The patient had a good recovery postoperatively. No abdominal pain or bloating developed after food intake. The patient passed flatus and had bowel movements later. On postoperative day 9, the LT was removed. On the 10th day, the patient suddenly developed abdominal distension and acute abdominal pain. Emergency abdominal CT showed small bowel intussusception. Surgical exploration was then performed. Severe small bowel dilatation located at 1.5 m from the ligament of Treitz was found during the procedure. Intussusception at the site was observed. No color change of the intestinal wall was detected, suggesting that no necrosis was present. So, a manual reduction was done. The patient was discharged on postoperative day 6. Conclusions This case serves as a warning that the simple action of pulling out the LT might also cause serious complications, which should be given more attention.

scholarly journals Acute colonic pseudo-obstruction and rapid septic progression after transabdominal preperitoneal hernia repair: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuki Inagaki ◽  
Kohei Matsuo ◽  
Yoritaka Nakano ◽  
Tadashi Kondo
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Cardiopulmonary Arrest ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Transabdominal Preperitoneal ◽  
First Case ◽  
Advanced Therapy ◽  
Obstructive Colitis

Abstract Background Acute colonic pseudo-obstruction (ACPO) is a rare condition observed in patients with some underlying medical or surgical conditions. To the best of our knowledge, this is the first case report of a patient with ACPO development and rapid septic progression after laparoscopic inguinal hernia repair. Case presentation A 78-year-old man who underwent transabdominal preperitoneal hernia repair (TAPP) for right inguinal hernia presented with difficulty in defecation and abdominal distension. He visited our emergency department on the third postoperative day. Enhanced computed tomography (CT) detected marked enlargement from the cecum to the rectum. There was no evidence of mechanical obstruction, ischemia, or perforation. He was diagnosed with postoperative constipation and received conservative management. He gradually started to improve; however, he suddenly experienced cardiopulmonary arrest 30 h after admission and could not be resuscitated. CT imaging of the abdomen during autopsy did not show any significant change, such as perforation, from the time of admission. Based on the clinical course and examination results, postoperative ACPO was considered the fundamental cause of fulminant obstructive colitis leading to sepsis. Conclusions ACPO following minimally invasive surgery is exceedingly rare. However, it is important to consider this disease as one of the differential diagnoses to avoid missing the chance for advanced therapy.

Recurrent chemical meningitis due to an intraspinal cystic teratoma

1980 ◽  
Vol 52 (5) ◽  
pp. 715-717 ◽  
Author(s):  
Albert Larbrisseau ◽  
Francois Renevey ◽  
Pierre Brochu ◽  
Michel Décarie ◽  
Jean-Pierre Mathieu
Keyword(s):  
Case Report ◽  
Cystic Teratoma ◽  
Content Type ◽  
First Case ◽  
Chemical Meningitis ◽  
Space Occupying Lesion ◽  
Fine Print

✓ This is the first case report of an intraspinal cystic teratoma that manifested itself in recurrent episodes of chemical meningitis, with no sign of a space-occupying lesion.

Intrahepatic Migration of a Peritoneal Shunt Catheter: Case Report

Neurosurgery ◽  
1987 ◽  
Vol 21 (2) ◽  
pp. 258-259 ◽  
Author(s):  
Hajime Touho ◽  
Mikio Nakauchi ◽  
Toshiaki Tasawa ◽  
Jyoji Nakagawa ◽  
Jun Karasawa
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Low Pressure ◽  
Peritoneal Catheter ◽  
Shunt System ◽  
Abdominal Computed Tomography ◽  
Shunt Tube ◽  
Ventriculoperitoneal Shunting

Abstract The intrahepatic migration of a peritoneal shunt tube of a ventriculoperitoneal shunt system (low pressure Pudenz valve and low pressure Pudenz peritoneal catheter) is reported. This is a rare complication of ventriculoperitoneal shunting and was diagnosed by metrizamide shuntography and abdominal computed tomography. To our knowledge, this is the second case complicated with migration of a peritoneal shunt tube into the liver.

The first case report of Pembrolizumab inducing thyroiditis and hypophysitis

2020 ◽  
Author(s):  
Rahman Maraqa Sima Abdel ◽  
Robert McMahon ◽  
Anusha Pinjala ◽  
Gastelum Alheli Arce ◽  
Mohsen Zena
Keyword(s):  
Case Report ◽  
First Case
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