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Case report
Laparoscopic bowel resection in the presence of a lumbo-peritoneal shunt: a rare case
  1. Gregg Neagle1,
  2. Emma Bhatti2,
  3. Martyn Hawkins3 and
  4. Chris Rodger4
  1. 1General Surgery, Dumfries and Galloway Royal Infirmary, Dumfries, UK
  2. 2Anaesthetics, Royal Alexandra Hospital, Paisley, UK
  3. 3Anaesthetics, Forth Valley Royal Hospital, Larbert, UK
  4. 4General Surgery, Forth Valley Royal Hospital, Larbert, UK
  1. Correspondence to Gregg Neagle; g.neagle{at}nhs.net

Abstract

The presence of a cerebrospinal fluid (CSF) shunt was previously considered a contra-indication to laparoscopic surgery, however, case reports appeared that describe laparoscopic surgery proceeding with no adverse outcomes in such patients. The majority of these reports relate to laparoscopic cholecystectomy. Here we present what we believe to be only the second report of a patient undergoing laparoscopic bowel resection in the presence of a lumbo-peritoneal shunt. With this case we aim to add to the evidence that more major laparoscopic procedures can be performed safely in the presence of CSF shunts and with a brief review of the current evidence, have suggested appropriate monitoring and precautionary measures for approaching these procedures.

  • general surgery
  • obstetrics and gynaecology
  • anaesthesia
  • headache (including migraines)
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Footnotes

  • Twitter @hawma01

  • Contributors All authors participated in the clinical case. Initial idea, planning, research and first draft written in collaboration by GN and EB. CR provided editing of the first draft and added some specific surgical details to the paragraph entitled ‘Case presentation’. MH reviewed the article and provided further editorial work including rearrangement of bodies of text. Reference list compiled and edited by GN and EB. The final draft was then re-reviewed by all four of the above authors and any further suggested changes were implemented by GN who as first author was responsible for the submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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