Transoral Protrusion of a Peritoneal Catheter: A Rare Complication of Ventriculoperitoneal Shunt

2008 ◽  
Vol 44 (2) ◽  
pp. 169-171 ◽  
Author(s):  
Moncef Berhouma ◽  
Mahmoud Messerer ◽  
Sobhy Houissa ◽  
Moncef Khaldi
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Peritoneal Catheter

scholarly journals Anal Extrusion of Ventriculoperitoneal Shunt: A Case Report and Review of Literature

2021 ◽  
Vol 31 (4) ◽  
pp. 13
Author(s):  
Farhad Bal'afif ◽  
Donny Wisny Wardhana ◽  
Tommy Alfandy Nazwar ◽  
Novia Ayuning Nastiti
Keyword(s):  
Physical Examination ◽  
Ventriculoperitoneal Shunt ◽  
Surgical Procedure ◽  
Rare Complication ◽  
Female Child ◽  
Contributing Factors ◽  
Peritoneal Catheter ◽  
Factors Affecting ◽  
Vp Shunt ◽  
Life Threatening

<p>Ventriculoperitoneal (VP) Shunt is a commonly performed surgical procedure and offers a good result in the treatment of hydrocephalus. In general, 25% of the complication rate of this surgical procedure is abdominal complications. Anal extrusion of a peritoneal catheter is a rare complication ranging from 0.1 to 0.7% of all shunt surgeries. This study presents a rare case of anal extrusion of ventriculoperitoneal shunt in a 1-year-old female child who was asymptomatic. The physical examination revealed swelling and redness along the shunt tract on the retro auricular region, soft abdomen, and no catheter was observed in the anal. This study found several contributing factors affecting the complications in the anal extrusion of a peritoneal catheter, that are thin bowel wall in children and sharp tip and stiff end of VP shunt. The shunt should be disconnected from the abdominal wall, and the lower end should be removed through the rectum by colonoscopy or sigmoidoscopy/proctoscopy or by applying gentle traction on the protruding tube. This study concludes that due to potentially life-threatening consequences and case rarity, thorough anamnesis, physical examination, and objective investigation are needed to determine the appropriate management for anal extrusion of ventriculoperitoneal shunt. </p>

Ventriculoperitoneal shunt with a rare twist: small-bowel ischemia and necrosis secondary to knotting of peritoneal catheter

2014 ◽  
Vol 14 (3) ◽  
pp. 234-237 ◽  
Author(s):  
Lee A. Tan ◽  
Manish K. Kasliwal ◽  
Roham Moftakhar ◽  
Lorenzo F. Munoz
Keyword(s):  
Small Bowel ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
External Ventricular Drain ◽  
Bowel Ischemia ◽  
Shunt Revision ◽  
Peritoneal Catheter ◽  
High Grade Fever ◽  
Shunt System ◽  
Distal Catheter

Small-bowel ischemia and necrosis due to knotting of the peritoneal catheter is an extremely rare complication related to a ventriculoperitoneal shunt (VPS). A 3-month-old girl, with a history of Chiari II malformation and myelomeningocele (MM) after undergoing right occipital VPS insertion and MM repair at birth, presented to the emergency department with a high-grade fever. Examination of a CSF sample obtained via shunt tap raised suspicion for the presence of infection. Antibiotic therapy was initiated, and subsequently the VPS was removed and an external ventricular drain was placed. Intraoperatively, as attempts at pulling the distal catheter from the scalp incision were met with resistance, the distal catheter was cut and left in the abdomen while the remainder of the shunt system was successfully removed. While the patient was awaiting definitive shunt revision surgery to replace the VPS, she developed abdominal distension due to small-bowel obstruction. An emergency exploratory laparotomy revealed a knot in the distal catheter looping around and strangulating the distal ileum, causing small-bowel ischemia and necrosis in addition to the obstruction. A small-bowel resection with ileostomy was performed, with subsequent placement of ventriculoatrial shunt for treatment of hydrocephalus. The authors report this exceedingly rare clinical scenario to highlight the fact that any retained distal catheter must be carefully managed with immediate abdominal exploration to remove the distal catheter to avoid bowel necrosis as pulling of a knotted peritoneal catheter may strangulate the bowel and cause ischemia, with significant clinical morbidity and possible mortality.

Extrusion of Peritoneal Catheter through Abdominal Incision

Neurosurgery ◽  
1979 ◽  
Vol 5 (4) ◽  
pp. 504-506 ◽  
Author(s):  
Alonso L. DeSousa ◽  
Robert M. Worth
Keyword(s):  
Adult Patient ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Peritoneal Catheter ◽  
Abdominal Incision ◽  
First Report

Abstract A rare complication of a ventriculoperitoneal shunt is reported. The peritoneal catheter extruded through the well-healed abdominal incision. This is the first report of such an occurrence in an adult patient.

scholarly journals A rare complication of ventriculoperitoneal shunt: Pleural effusion without intrathoracic ventriculoperitoneal shunt catheter

2020 ◽  
Vol 11 ◽  
pp. 291
Author(s):  
Said Hilmani ◽  
Tarek Mesbahi ◽  
Abderrahman Bouaggad ◽  
Abdelhakim Lakhdar
Keyword(s):  
Pleural Effusion ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Peritoneal Catheter ◽  
X Ray ◽  
Thoracic Drainage ◽  
Repeat Chest ◽  
Chest X Ray ◽  
The Right ◽  
Catheter Replacement

Background: Symptomatic pleural effusion following ventriculoperitoneal shunt (VPS) insertion is very rare and poorly understood in the literature in contrary to other mechanical complications. Case Description: We report a case of 15 month-year-old girl who had VP shunt for congenital hydrocephalus. Twelve months after surgery, she was diagnosed with massive hydrothorax. Chest X-ray and thoracoabdominal CT scan confirmed the right pleurisy and showed the tip of the peritoneal catheter in the general peritoneal cavity. We made thoracic drainage of the transudative pleural effusion. When we released the chest tube, 24 h after, the girl showed a respiratory distress again and the effusion resumed at the X-ray control. Her symptoms abated after the realization of a ventriculoatrial shunt “VAS.” Repeat chest X-ray confirmed the resolution of the hydrothorax. Conclusion: Despite the not yet well-understood mechanism of this rare and important VPS complication, management is simple based on X-ray confirmation, thoracentesis with biological analysis, and catheter replacement, especially in atrium “VAS.”

Protrusion of a peritoneal catheter via abdominal wall and operated myelomeningocele area: a rare complication of ventriculoperitoneal shunt

2013 ◽  
Vol 29 (7) ◽  
pp. 1199-1202 ◽  
Author(s):  
Mustafa Aras ◽  
Murat Altaş ◽  
Yurdal Serarslan ◽  
Bülent Akçora ◽  
Atilla Yılmaz
Keyword(s):  
Abdominal Wall ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Peritoneal Catheter

Ventriculoperitoneal shunt procedure complicated by ureter obstruction

1983 ◽  
Vol 59 (3) ◽  
pp. 542-544 ◽  
Author(s):  
Carl E. Clarke ◽  
Kamal S. Paul ◽  
Richard H. Lye
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Case History ◽  
Rare Complication ◽  
Peritoneal Catheter ◽  
Shunt System ◽  
Content Type ◽  
Ureter Obstruction ◽  
Shunt Procedure ◽  
History Of ◽  
Fine Print

✓ The authors present the case history of a patient in whom the peritoneal catheter of a ventriculoperitoneal shunt system caused ureter obstruction. This is a rare complication of such a shunt procedure, and the patient's symptoms were relieved by shortening the peritoneal catheter.

Intrahepatic Migration of a Peritoneal Shunt Catheter: Case Report

Neurosurgery ◽  
1987 ◽  
Vol 21 (2) ◽  
pp. 258-259 ◽  
Author(s):  
Hajime Touho ◽  
Mikio Nakauchi ◽  
Toshiaki Tasawa ◽  
Jyoji Nakagawa ◽  
Jun Karasawa
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Low Pressure ◽  
Peritoneal Catheter ◽  
Shunt System ◽  
Abdominal Computed Tomography ◽  
Shunt Tube ◽  
Ventriculoperitoneal Shunting

Abstract The intrahepatic migration of a peritoneal shunt tube of a ventriculoperitoneal shunt system (low pressure Pudenz valve and low pressure Pudenz peritoneal catheter) is reported. This is a rare complication of ventriculoperitoneal shunting and was diagnosed by metrizamide shuntography and abdominal computed tomography. To our knowledge, this is the second case complicated with migration of a peritoneal shunt tube into the liver.

Coiling and migration of peritoneal catheter into the breast: a very rare complication of ventriculoperitoneal shunt

2011 ◽  
Vol 27 (9) ◽  
pp. 1499-1501 ◽  
Author(s):  
Sajad Shafiee ◽  
Farideh Nejat ◽  
Sherief M. Raouf ◽  
Mehrzad Mehdizadeh ◽  
Mostafa El Khashab
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Peritoneal Catheter ◽  
And Migration

Fenestration of Peritoneal Catheter to Avoid Abdominal Pseudocyst Formation after Ventriculoperitoneal Shunts: A Technical Note

2020 ◽  
Author(s):  
Antonio Scollato ◽  
Sokol Trungu ◽  
Stefano Forcato ◽  
Luca Ricciardi ◽  
Massimo Miscusi ◽  
...  
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Technical Note ◽  
Additional Cost ◽  
Peritoneal Catheter ◽  
Effective Technique ◽  
Ventriculoperitoneal Shunts ◽  
Abdominal Pseudocyst ◽  
Reoperation Rates ◽  
Pseudocyst Formation

AbstractVentriculoperitoneal shunt (VPS) is a well-known procedure in the neurosurgical field. However, it has high complication and reoperation rates. Abdominal pseudocyst (APC) formation is a rare complication of VPS with reports in the literature varying from 4 to 10%. In this article, we report a simple and effective technique, with no additional cost, to avoid APC formation by making small multiple slits along the length of the peritoneal catheter.

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