Knotted bowel: small-bowel obstruction from coiled peritoneal shunt catheters. Report of two cases.

Sanan, A; Haines, S J; Nyberg, S L; Leonard, A S · J Neurosurg · 1995

case_report · Level V

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Abstract

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.

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