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Turkish Journal of Trauma and Emergency Surgery A CASE OF ACUTE ABDOMEN DUE TO VENTRICULO-PERITONEAL SHUNT INFECTION [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2003; 9(2): 137-139

A CASE OF ACUTE ABDOMEN DUE TO VENTRICULO-PERITONEAL SHUNT INFECTION

Ramazan Çiçek1, Serdar Türkyılmaz2, Akif Cinel2, Uzel Küçüktülü2, Sezgin Mumcu2, Ertuğrul Çakır6
1Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey, [email protected]
2Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
3Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
4Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
5Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
6Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Beyin Cerrahisi Anabilim Dalı, Trabzon, Turkey

Peritonitis is a rare complication of ventriculoperitoneal shunt. Shunt infection may be the cause in patients with ventriculoperitoneal
shunt, who have acute abdomen. Spesific clues taken from patient’s history, physical examination and
some further investigations may clarify the diagnosis. This case is a 25-years-old male with a ventriculoperitoneal shunt who presented symptoms of acute abdomen. The patient was admitted with complaints of abdominal pain. There were
no neurologic signs or symptoms. Physical examination on admission revealed a mass in the right lower abdomen and abdominal muscular guarding with rebound tenderness. Laboratory studies showed leukocytosis of the peripheral blood.
Abdominal ultrasound demonstrated a mass and the preoperative diagnosis was appendicitis. On abdominal exploration, appendix was found to be normal but a catheter infection related omental necrosis was present. Surgical therapy was carried out by withdrawal of the catheter and segmental resection of the omentum. The patient was discharged on seventh day postoperatively.

Keywords: Shunt infection, ventriculoperitoneal shunt, acute abdomen

VENTRİKÜLO- PERİTONEAL ŞANT ENFEKSİYONU NEDENİYLE GELİŞEN AKUT BATIN OLGUSU

Ramazan Çiçek1, Serdar Türkyılmaz2, Akif Cinel2, Uzel Küçüktülü2, Sezgin Mumcu2, Ertuğrul Çakır6
1Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey, [email protected]
2Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
3Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
4Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
5Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Genel Cerrahi Anabilim Dalı, Trabzon, Turkey
6Karadeniz Teknik Üniversitesi, Tıp Fakültesi Farabi Hastanesi Beyin Cerrahisi Anabilim Dalı, Trabzon, Turkey


Ramazan Çiçek, Serdar Türkyılmaz, Akif Cinel, Uzel Küçüktülü, Sezgin Mumcu, Ertuğrul Çakır. A CASE OF ACUTE ABDOMEN DUE TO VENTRICULO-PERITONEAL SHUNT INFECTION. Ulus Travma Acil Cerrahi Derg. 2003; 9(2): 137-139
Manuscript Language: Turkish