title: Small bowel perforation: a rare complication of ventriculoperitoneal shunt placement.
abstract: Small bowel perforation is a rare complication of ventriculoperitoneal (VP) shunt placement. When seen, it most commonly affects the stomach or colon. We describe a case and image findings of an 8-year-old female who presented with sepsis and erosion of the VP shunt into the small bowel. The imaging findings were confirmed surgically. We also provide an overview of the current literature discussing previously reported cases, clinical features, and treatment.
authors.affiliation: Department of Radiology, Wesley Medical Center, Wichita, KS, USA.
authors.forename: Kelsey
authors.initials: K
authors.lastname: Bourm
authors.affiliation: Department of Radiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Cory
authors.initials: C
authors.lastname: Pfeifer
authors.affiliation: Department of Radiology, Wesley Medical Center, Wichita, KS, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Zarchan
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000628:therapy; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D010535:Laparoscopy; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
keywords: Gram-negative bacterial meningitis; VP complications; VP shunt; VP shunt erosion into small bowel; bowel perforation; hydrocephalus; pseudocyst; ventriculoperitoneal shunt