Placement of lumboperitoneal shunt: Etiology of iatrogenic gastric perforation

Abstract

Iatrogenic perforation can cause gastric perforation; among the complications of lumboperitoneal shunt placement, intestinal perforation is extremely rare vs. infectious complications; perforation may occur in the ascending colon with projection of the incision site. This case involves a 41-year-old patient, with gastric perforation from pseudotumor cerebri during incision in the abdominal right quadrant to insert a lumboperitoneal shunt.

Keywords

• Iatrogenic gastric perforation
• Lumboperitoneal shunt complications
• Pseudotumor cerebri
• Obesity

References

1. 1. Svanes C. Trends in Perforated Peptic Ulcer: Incidence, Etiology, Treatment, and Prognosis. World J Surg. 2000 Mar;24(3):277-83.
2. 2. Önen Ö, Güven FMK. Üst Gastrointestinal Sistem Endoskopisi Sonrası Görülen Karın Ağrısında Nadir ama Ölümcül Bir Komplikasyon; İyatrojenik Mide Perforasyonu, CausaPedia. 2020;9(3):110-3.
3. 3. Eren Y, Psödotümör Serebri Sendromu, Klinik Özellikler. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019;72(1):61-5.
4. 4. Şenol Ö, Dağıstan E, Coşgun Z, Kalfaoğlu ME, Dağıstan Y. Hidrosefali Hastalarında Şant Cerrahisi Sonuçları. Sakarya Tıp Dergisi. 2021;11(2):388-94.
5. 5. Akçakaya NH, Akçakaya MO, Sencer A, Yapıcı Z. İdiyopatik İntrakraniyal Hipertansiyon: Tanı ve Tedavi Yaklaşımı, Turk J Neurol. 2017;23:43-50.
6. 6. Malm J, Kristensen B, Stegmayr B, Fagerlund M, Koskinen L-O. Three Year Survival and Functional Outcome of Patients with Idiopathic Adult Hydrocephalus Syndrome. Neurology. 2000;55(4):576-8.
7. 7. Paspatis GA, Dumonceau JM, Barthet M, Meisner S, Repici A, Saunders BP, et al. Diagnosis and Management of Iatrogenic Endoscopic Perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy. 2014;46(8):693-711.