Las complicaciones más frecuentes de las derivaciones ventrículoperitoneales en el tratamiento de la hidrocefalia son la infección y la obstrucción, oscilando estas últimas entre 24 y 47%, y dentro de ellas, las complicaciones abdominales representan aproximadamente un 25%.
La incidencia de perforación diafragmática es relativamente escasa, aceptándose entre un 0,1–0,7% La migración del catéter peritoneal a través de hernias inguinales es relativamente frecuente dada su mayor incidencia, mientras que en las hernias de Morgagni la frecuencia es mucho menor (aproximadamente 1/4000–5000).
Presentamos un caso de migración del extremo distal del catéter peritoneal a través de una hernia congénita de Morgagni.
The most common complications after CSF shunting to treat hydrocephalus are shunt infection and obstruction.
Although ventriculoperitoneal (VP) diversion of the CSF using artificial shunt devices is an accepted method for the management of hydrocephalus, high rates of various complications have been reported, ranging from 24% to 47%. Among these, abdominal complications account for aproximately 25%.
The incidence of bowel perforation by shunt-cathe-ter is known to be as low as 0,1–0,7%. We describe a case of migration af a peritoneal catheter through a congenital hernia of Morgagni.
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