Appendicitis and Peritonitis in Children with a Ventriculo-Peritoneal Shunt
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Appendicitis and Peritonitis in Children with a Ventriculo-Peritoneal Shunt. / Fröschle, Glenn M C; Hagens, Johanna; Mannweiler, Philip; Groth, Friederike Sophie; Kammler, Gertrud; Reinshagen, Konrad; Tomuschat, Christian.
In: CHILDREN-BASEL, Vol. 10, No. 3, 571, 17.03.2023.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Appendicitis and Peritonitis in Children with a Ventriculo-Peritoneal Shunt
AU - Fröschle, Glenn M C
AU - Hagens, Johanna
AU - Mannweiler, Philip
AU - Groth, Friederike Sophie
AU - Kammler, Gertrud
AU - Reinshagen, Konrad
AU - Tomuschat, Christian
PY - 2023/3/17
Y1 - 2023/3/17
N2 - The purpose of this study was to outline the management of patients with appendicitis and ventriculoperitoneal shunt (VPS) in the largest pediatric surgery department in Germany. Patients with VPS presenting with an acute abdomen between 2012 and 2022 at a tertiary-care pediatric facility were the subject of a retrospective descriptive analysis. Patients were divided into two groups based on their diagnoses: group A (appendicitis) and group B (primary peritonitis). Medical records were analyzed to look at the diagnostics, operative approach, complications, peritoneal and liquor culture, and antibiotic treatment. A total of seventeen patients were examined: seven patients in group A and ten individuals in group B. In the present study patients in group A typically presented younger, sicker, and with more neurological symptoms than those in group B. All patients with appendicitis had their VPS exteriorized, and a new shunt system into the peritoneum was reimplanted 20 days later. Surgery should be aggressively administered to patients who present with an acute abdomen and a VPS. Change of the whole shunt system is suggested. Shunt infection and dysfunction should be ruled out in patients with abdominal symptoms, and surgical care should be started with a low threshold.
AB - The purpose of this study was to outline the management of patients with appendicitis and ventriculoperitoneal shunt (VPS) in the largest pediatric surgery department in Germany. Patients with VPS presenting with an acute abdomen between 2012 and 2022 at a tertiary-care pediatric facility were the subject of a retrospective descriptive analysis. Patients were divided into two groups based on their diagnoses: group A (appendicitis) and group B (primary peritonitis). Medical records were analyzed to look at the diagnostics, operative approach, complications, peritoneal and liquor culture, and antibiotic treatment. A total of seventeen patients were examined: seven patients in group A and ten individuals in group B. In the present study patients in group A typically presented younger, sicker, and with more neurological symptoms than those in group B. All patients with appendicitis had their VPS exteriorized, and a new shunt system into the peritoneum was reimplanted 20 days later. Surgery should be aggressively administered to patients who present with an acute abdomen and a VPS. Change of the whole shunt system is suggested. Shunt infection and dysfunction should be ruled out in patients with abdominal symptoms, and surgical care should be started with a low threshold.
U2 - 10.3390/children10030571
DO - 10.3390/children10030571
M3 - SCORING: Journal article
C2 - 36980129
VL - 10
JO - CHILDREN-BASEL
JF - CHILDREN-BASEL
SN - 2227-9067
IS - 3
M1 - 571
ER -
