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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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Detalles Bibliográficos
Autores principales: Callanan, Deborah, Phillips, Timothy, Tullous, Micam
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5734565/
https://www.ncbi.nlm.nih.gov/pubmed/29276597
http://dx.doi.org/10.1177/2050313X17744986
Descripción
Sumario: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.