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Cecal perforation

A rare complication of a ventriculoperitoneal shunt

Czajka, Gregory, MPAS, PA-C, DFAAPA; Kreminski, Halley, PA-C

Journal of the American Academy of PAs: September 2018 - Volume 31 - Issue 9 - p 28–31
doi: 10.1097/01.JAA.0000541481.16493.d1
Case Report

ABSTRACT Hydrocephalus can be the result of an infection, obstruction, impaired reabsorption of cerebrospinal fluid (CSF), or an abnormal increase in CSF. Ventriculoperitoneal (VP) shunting is the gold standard treatment for hydrocephalus despite its high rate of complications, including catheter obstruction and infection. Spontaneous cecal perforation by a VP shunt is extremely rare. Headache or subtle change in personality may indicate a VP shunt infection. Early recognition of the infection is critical for optimal patient outcomes.

Gregory Czajka is an assistant professor in the PA program at Daemen College in Amherst, N.Y. At the time this article was written, Halley Kreminski was a student in the PA program at Daemen College. She now practices with Buffalo (N.Y.) Neurosurgery Group. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2018 American Academy of Physician Assistants
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