Distal ventriculoperitoneal shunt failure secondary to Clostridium difficile colitis.

Journal Article

Distal ventriculoperitoneal shunt obstruction is typically associated with cerebrospinal fluid (CSF) infection, fluid pseudocysts, bowel obstruction, bowel perforation, or improper shunt placement in the abdomen. We describe a unique etiology for distal shunt obstruction secondary to Clostridium difficile pancolitis that occurred because of inflammation and ascites, which led to incomplete drainage and absorption of CSF. This case illustrates the importance of considering distal shunt obstruction in a patient with signs of abdominal pathology in the setting of mental status changes, and the effective treatment of this patient initially with distal catheter externalization followed by internalization of a new distal catheter after resolution of the pancolitis.

Full Text

Duke Authors

Cited Authors

  • Gottfried, ON; Binning, MJ; Sherr, G; Couldwell, WT

Published Date

  • March 2005

Published In

Volume / Issue

  • 147 / 3

Start / End Page

  • 335 - 338

PubMed ID

  • 15931467

International Standard Serial Number (ISSN)

  • 0001-6268

Digital Object Identifier (DOI)

  • 10.1007/s00701-004-0444-8

Language

  • eng

Conference Location

  • Austria