Intestinal obstruction caused by extraperitoneal cerebrospinal fluid collection.
External compression caused by a massive extraperitoneal cerebrospinal fluid collection lead to intestinal obstruction in a 3-year-old child who had previously had a ventriculoperitoneal shunt for treatment of hydrocephalus. Radiological findings and ways of preventing this situation are discussed. A useful diagnostic radiological sign, the "coiling sign', indicating shunt misplacement at the peritoneal level, is also described.
Naim-Ur-Rahman
Division of Neurosurgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Jamjoom
A
A
Jamjoom
Z A
ZA
D015170:Cerebrospinal Fluid Pressure / Q000502:physiology; D002675:Child, Preschool; D004868:Equipment Failure; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging* / Q000601:surgery; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation*