López López-Guerrero, Antonio

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López López-Guerrero, Antonio

Universidad de Murcia. Departamento de Cirugía, Pediatría, Obstetriciay Ginecología

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Acute cholecystitis complicating ventriculo-peritoneal shunting: report of a case and review of the literature
(Springer, 2008-03-26) Martínez Lage, Juan F.; Girón Vallejo, Óscar; López López-Guerrero, Antonio; Martínez-Lage Azorín, Laura; Roqués, José Luis; Almagro, María José; Cirugía, Pediatría y Obstetricia y Ginecología; Facultades de la UMU::Facultad de Medicina
Case A 3-year-old boy underwent emergency external ventricular drainage and excision of a fourth ventricle anaplastic ependymoma. A week later, the child was given a ventriculo-peritoneal shunt. Fourteen days after shunting, the child developed a subphrenic abscess and acute cholecystitis that required surgery. Results A Staphylococcus epidermidis was isolated both from the ventricular catheter and CSF and from the subphrenic abscess and the gallbladder. To our knowledge, this is the first report of cholecystitis evolving as a descending shunt infection. The current literature related with this unique complication is briefly reviewed.

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