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Surg Neurol. 1998 Jan;49(1):21-4.

Colonic perforation by ventriculoperitoneal shunt tubing: a case of suspected silicone allergy.

Author information

1
Department of Surgery, Columbia Saint Luke's Medical Center, Cleveland, OH 44104, USA.

Abstract

BACKGROUND:

A case of colonic perforation by a ventriculoperitoneal shunt is presented in a patient with several previous complications associated with shunt tubing.

CASE DESCRIPTION:

Initially managed by intravenous antibiotics, shunt externalization, and colonoscopy, the entire ventriculoperitoneal shunt system was subsequently replaced after cerebrospinal fluid cultures had grown Propionibacterium acnes and Streptococcus sanguis organisms. The patient has had three episodes of skin breakdown over his shunt tubing (two prior and one subsequent to colonic perforation) without evidence of shunt infection or malfunction.

CONCLUSIONS:

The etiology of these complications is consistent with silicone tubing allergy. Replacement with a polyurethane system produced no similar complications thus far, which further supports a possible silicone allergy to the ventriculoperitoneal shunt and possible etiology of this patient's colonic perforation.

PMID:
9428890
DOI:
10.1016/s0090-3019(97)00014-1
[Indexed for MEDLINE]

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