Acute shunt malfunction after cesarean section delivery: a case report.
Shunt malfunctions that require surgical intervention during pregnancy and the postpartum period are rare. Furthermore, no study has reported on an acute shunt malfunction immediately after cesarean section. Here, we describe the case of a 32-yr-old woman who became drowsy 12 hr after cesarean section delivery of her second child. She had a ventriculoperitoneal shunt placed to treat hydrocephalus associated with meningitis at 26 yr of age. Marked ventriculomegaly was seen on brain computed tomography and her consciousness recovered temporarily after aspirating cerebrospinal fluid from the flushing device. At surgery, the distal catheter tip was plugged by a blood clot. We believe that the blood spilled over during the cesarean section. The clogged catheter end was simply cut off and the remaining catheter was repositioned in the peritoneal cavity. Her consciousness recovered fully.
Hwang
Sun-Chul
SC
Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Wonmi-gu, Bucheon, Korea. sunchulh@sch.ac.kr
Kim
Tae-Hee
TH
Kim
Bum-Tae
BT
Im
Soo-Bin
SB
Shin
Won-Han
WH
D000328:Adult; D002585:Cesarean Section; D004868:Equipment Failure; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D008581:Meningitis / Q000150:complications; D011247:Pregnancy; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects / Q000295:instrumentation