ABSTRACT
The ventriculoperitoneal shunts (VPS) are commonly used to liberate the pressure of the cerebrospinal fluid in hydrocephalus. It is a very common therapy in pediatric neurosurgery. It is also considered as a safe and efficient, well tolerated control in the hydrocephalus patient. But it may bring complications. We present a case of sigmoid perforation due to a ventriculoperitoneal shunt unnoticed and symptomless until the tube broke through the rectum. The abdominal complications of VPS, their diagnosis, and management are also commented.
Subject(s)
Hydrocephalus/surgery , Intestinal Perforation/diagnosis , Ventriculoperitoneal Shunt/adverse effects , Child, Preschool , Colon, Sigmoid/physiopathology , Colon, Sigmoid/surgery , Female , Humans , Intestinal Perforation/physiopathology , Intestinal Perforation/surgeryABSTRACT
The parasitic disease may be encountered as a surgical entity. A massive infestation by Ascaris can produce intestinal obstruction, resulting in the need of an immediate surgical response. We present a case of intestinal obstruction caused by Ascaris, with a secondary volvulus due to the bolus of worms.
