A Case of Penetration of the Descending Colon by the Peritoneal Shunt Tube of a Subdural-Peritoneal Shunt System that was Treated by Laparoscopic Surgery

Abstract

The patient was a 68-year-old male who had undergone subdural-peritoneal shunt implantation at another hospital for a chronic subdural hematoma. Ten years later, he visited our hospital complaining of fever. An abdominal CT showed that the S-P shunt tube had penetrated into the descending colon. A head MRI showed a brain abscess in the right frontal lobe and right subdural abscesses, which were thought to have been caused by retrograde infection by intestinal bacteria. In the first operation, the brain abscess and subdural abscesses were enucleated and the subdural shunt tube was removed. In the second operation, the peritoneal shunt tube was removed and the descending colon was repaired by laparoscopic surgery. The treatment proved safe and successful.