Urinary perforation in spina bifida: Neurosurgical and infectious consequences

As the number of medically complex children increases, pediatricians and emergency physicians face challenges in evaluating complications from devices placed to treat their underlying conditions. We present a child with spina bifida who developed a perforation of his vesicostomy leading to peritonit...

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Main Authors: Deborah Callanan, Timothy Phillips, Micam Tullous
Format: Article
Language:English
Published: SAGE Publishing 2017-12-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X17744986
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spelling doaj-4099c9115f7c40ad8c2de10045c79cca2020-11-25T03:39:18ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2017-12-01510.1177/2050313X17744986Urinary perforation in spina bifida: Neurosurgical and infectious consequencesDeborah Callanan0Timothy Phillips1Micam Tullous2Pediatric Emergency Medicine, Baylor College of Medicine and Children’s Hospital of San Antonio, San Antonio, TX, USAPediatric Urology, San Antonio Military Medical Center and Children’s Hospital of San Antonio, San Antonio, TX, USAPediatric Neurosurgery, Baylor College of Medicine and Children’s Hospital of San Antonio, San Antonio, TX, USAAs the number of medically complex children increases, pediatricians and emergency physicians face challenges in evaluating complications from devices placed to treat their underlying conditions. We present a child with spina bifida who developed a perforation of his vesicostomy leading to peritonitis, septic shock, and urgent externalization of his ventriculoperitoneal shunt. Multiple consultants may need to be promptly involved in the management of children with underlying medical problems. Because procedural complications are often reported only in the surgical specialty literature, pediatricians and emergency physicians should seek information from their patients’ specialists about potential problems.https://doi.org/10.1177/2050313X17744986
collection DOAJ
language English
format Article
sources DOAJ
author Deborah Callanan
Timothy Phillips
Micam Tullous
spellingShingle Deborah Callanan
Timothy Phillips
Micam Tullous
Urinary perforation in spina bifida: Neurosurgical and infectious consequences
SAGE Open Medical Case Reports
author_facet Deborah Callanan
Timothy Phillips
Micam Tullous
author_sort Deborah Callanan
title Urinary perforation in spina bifida: Neurosurgical and infectious consequences
title_short Urinary perforation in spina bifida: Neurosurgical and infectious consequences
title_full Urinary perforation in spina bifida: Neurosurgical and infectious consequences
title_fullStr Urinary perforation in spina bifida: Neurosurgical and infectious consequences
title_full_unstemmed Urinary perforation in spina bifida: Neurosurgical and infectious consequences
title_sort urinary perforation in spina bifida: neurosurgical and infectious consequences
publisher SAGE Publishing
series SAGE Open Medical Case Reports
issn 2050-313X
publishDate 2017-12-01
description As the number of medically complex children increases, pediatricians and emergency physicians face challenges in evaluating complications from devices placed to treat their underlying conditions. We present a child with spina bifida who developed a perforation of his vesicostomy leading to peritonitis, septic shock, and urgent externalization of his ventriculoperitoneal shunt. Multiple consultants may need to be promptly involved in the management of children with underlying medical problems. Because procedural complications are often reported only in the surgical specialty literature, pediatricians and emergency physicians should seek information from their patients’ specialists about potential problems.
url https://doi.org/10.1177/2050313X17744986
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