Avoiding the pocket: A case report of coiling of distal shunt catheter into subcutaneous pocket
| العنوان: | Avoiding the pocket: A case report of coiling of distal shunt catheter into subcutaneous pocket |
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| المؤلفون: | Carolyn A. Harris, Richard Justin Garling, Sandeep Sood |
| المصدر: | International Journal of Surgery Case Reports |
| بيانات النشر: | Elsevier BV, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Distal shunt malfunction, Coiled shunt, Nausea, business.industry, Ventricular shunt, medicine.disease, Article, Shunt (medical), Surgery, Hydrocephalus, Shunting, 03 medical and health sciences, Catheter, 0302 clinical medicine, Vagal nerve stimulator, 030220 oncology & carcinogenesis, medicine, Neurosurgery, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | Highlights • Recognize patients with previous surgeries, especially those involving subcutaneous implants. • Distal shunt catheters must be passed around potential spaces to avoid coiling leading to shunt malfunction. • Note that if a peritoneal catheter does not pass easily a different approach should be considered. Introduction Hydrocephalus is one of the most common disorders of neurosurgery and ventricular shunting, the primary surgical intervention, malfunctions in 85% of patients by 10 years. Presentation of case Here we present a case of a 12-year-old girl with history of a vagal nerve stimulator (VNS) and ventricular shunt, most recently revised from ventriculoatrial (VA) to ventriculoperitoneal (VP) shunt at an outside hospital. The patient presented with a new left chest bulge, nausea, emesis, and seizures. Imaging revealed the patient’s distal shunt catheter to have completely migrated and coiled into the VNS subcutaneous pocket. Subsequently, the patient’s distal shunt catheter was externalized, and later internalized back to a VA shunt. Discussion Potential spaces from previous surgeries such as VNS can lead to coiling of distal shunt catheters. In this case, the coiled distal shunt catheter led to hydrocephalus and the patient’s presenting symptoms. Conclusion It is imperative to recognize patients with previous surgeries, especially those involving subcutaneous implants and to avoid passing of distal shunt catheters through these potential spaces. |
| تدمد: | 2210-2612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::648a2451398330029f308688b65bd7d4Test https://doi.org/10.1016/j.ijscr.2017.09.036Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....648a2451398330029f308688b65bd7d4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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