Knotted bowel: small-bowel obstruction from coiled peritoneal shunt catheters. Report of two cases.
Knotting of a peritoneal catheter around a loop of bowel is a rare occurrence, which may lead to bowel obstruction. The incomplete removal of two ventriculoperitoneal shunts resulted in two cases of iatrogenically knotted peritoneal catheters. One patient underwent a laparotomy for relief of obstruction and the other was successfully treated by uncoiling the catheter by means of a wire passed into its lumen. A plan for management of a knotted peritoneal catheter is outlined.
Sanan
A
A
Department of Neurosurgery, University of Minnesota Hospital and Clinic, Minneapolis, USA.
Haines
S J
SJ
Nyberg
S L
SL
Leonard
A S
AS
D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D007421:Intestine, Small; D008297:Male; D010537:Peritoneum; D011859:Radiography; D012086:Reoperation