Ischemic bowel secondary to ventriculoperitoneal shunt knotting: a surprisingly rare complication of ventriculoperitoneal shunting. Case report

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Small-bowel obstruction (SBO) and volvulus as a result of ventriculoperitoneal shunting are a rare phenomenon, especially when resulting in bowel necrosis. The authors report the rare event of SBO, bowel strangulation, and necrosis in a pediatric patient after the abdominal catheter became knotted around his small bowel, and they provide a comprehensive review of the literature. The authors argue that shunt configuration is an important consideration for a patient presenting with SBO, and that symptomatic shunt knotting is a reason for surgical correction.

ABBREVIATIONS SBO = small-bowel obstruction; VPS = ventriculoperitoneal shunt.
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Contributor Notes

Correspondence Benjamin Stephan Szewczyk: Albany Medical Center, Albany, NY. szewczb@amc.edu.INCLUDE WHEN CITING Published online January 31, 2020; DOI: 10.3171/2019.11.PEDS19138.

K.A.J. and B.S.S. share first authorship of this work.

Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.
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