DIEP flap breast reconstruction preserving a lumbarperitonealshunt tube We herein report a case of immediate deep inferior epigastric perforator flap (DIEP flap) breast reconstruction surgery in a 50-year-old female patient with a lumbarperitonealshunt tube. We performed DIEP flap reconstruction in the patient by withdrawing and subsequently reinserting the abdominal side of an implanted
. Perforation of the bowel is an extremely rare complication. We report a case of a 72 old female patient with LP shunt for raised intracranial pressure, who presented with LP shunt catheter protruding from anus. This was due to bowel perforation in the recto-sigmoid junction by the distal tip of lumbar-peritonealshunt. She was surgically treated with removal of the distal part of the shunt, external
, including lamina terminalis fenestration, ventricle-peritoneal shunting, and lumbar-peritonealshunting. HCP remains an ailment that cannot be ignored and even with various solutions the medical community is still trying to understand and settle why and how it develops and accordingly improve the prognosis of these patients with HCP.
leads to symptomatic improvement, this must be managed aggressively.In the absence of obstructive hydrocephalus or risk of herniation, increased pressure (>25cm H2 O) can be relieved by serial lumbar punctures. For those who cannot tolerate repeated lumbar punctures, a lumbar drain or ventriculostomy should be considered. A lumbar-peritonealshunt or ventriculoperitoneal shunt may be indicated as well
subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short-term treatment with high-dose
subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short-term treatment with high-dose
subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short-term treatment with high-dose
leads to symptomatic improvement, this must be managed aggressively.In the absence of obstructive hydrocephalus or risk of herniation, increased pressure (>25cm H2 O) can be relieved by serial lumbar punctures. For those who cannot tolerate repeated lumbar punctures, a lumbar drain or ventriculostomy should be considered. A lumbar-peritonealshunt or ventriculoperitoneal shunt may be indicated as well
leads to symptomatic improvement, this must be managed aggressively.In the absence of obstructive hydrocephalus or risk of herniation, increased pressure (>25cm H2 O) can be relieved by serial lumbar punctures. For those who cannot tolerate repeated lumbar punctures, a lumbar drain or ventriculostomy should be considered. A lumbar-peritonealshunt or ventriculoperitoneal shunt may be indicated as well
subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short-term treatment with high-dose
and connected to the cisternal subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short
and connected to the cisternal subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short
and connected to the cisternal subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short
and connected to the cisternal subarachnoid space. Liposomal amphotericin is lipid-based and has less nephrotoxicity than the deoxycholate formulationVentricular peritoneal shunts may be required to treat complications of meningitis (eg, hydrocephalus). In the absence of a CSF block, lumbarperitonealshunting may be required.CNS vasculitis is a life-threatening complication of coccidioidal meningitis. Short
leads to symptomatic improvement, this must be managed aggressively.In the absence of obstructive hydrocephalus or risk of herniation, increased pressure (>25cm H2 O) can be relieved by serial lumbar punctures. For those who cannot tolerate repeated lumbar punctures, a lumbar drain or ventriculostomy should be considered. A lumbar-peritonealshunt or ventriculoperitoneal shunt may be indicated as well
palsy along with severe constriction of visual fields while the second patient had symptoms of blurred vision. Both patients required neurosurgery, one patient requiring surgery for tonsillar descent and revision of an over-draining lumbarperitonealshunt and the second patient only requiring revision of his over-draining lumbarperitonealshunt. Following surgery the visual signs of reduced vision
appearance, visual acuity, color vision, and visual fields. The average age at surgery was 10.1 years of age. The average follow-up was 39.6 months. Headache was the most common presenting symptom. All patients showed improvement in optic nerve edema. Visual acuity improved or stayed the same in all surgical eyes (P = 0.0078). One patient required a neurosurgical lumbarperitonealshunt, and 2 patients
A Laparoscopic Technique for Retrieval and Prevention of Migration of Ventriculoperitoneal Shunt Tubing A 31-year-old female with a history of pseudotumor cerebri presented with headache and abdominal discomfort after placement of a ventriculoperitoneal (VP) shunt. The VP shunt was placed after prior failure and revision of a lumbarperitonealshunt. Computed tomography demonstrated shunt
shunt (SG shunt) Subgaleal space Lumbar-peritonealshunt (LP shunt) Peritoneal cavity A subgaleal shunt is usually a temporary measure used in infants who are too small or premature to tolerate other shunt types. The surgeon forms a pocket beneath the epicranial aponeurosis (the subgaleal space) and allows CSF to drain from the ventricles, creating a fluid-filled