scholarly journals Extrusion of the Distal Catheter From the Umbilicus: A Case Report of a Rare Complication After Ventriculoperitoneal Shunt and Its Management

2020 ◽  
Vol 8 ◽  
Author(s):  
Yi Xia ◽  
Fang He ◽  
Zhen Ren ◽  
Chao Wang
2009 ◽  
Vol 26 (7) ◽  
pp. 957-962 ◽  
Author(s):  
Claudio Ruggiero ◽  
Pietro Spennato ◽  
Danilo De Paulis ◽  
Fernando Aliberti ◽  
Giuseppe Cinalli

Neurosurgery ◽  
2002 ◽  
Vol 51 (3) ◽  
pp. 819-822 ◽  
Author(s):  
James L. Frazier ◽  
Paul P. Wang ◽  
Salil H. Patel ◽  
Jane E. Benson ◽  
Duke E. Cameron ◽  
...  

2014 ◽  
Vol 14 (3) ◽  
pp. 234-237 ◽  
Author(s):  
Lee A. Tan ◽  
Manish K. Kasliwal ◽  
Roham Moftakhar ◽  
Lorenzo F. Munoz

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.


Neurosurgery ◽  
2002 ◽  
Vol 51 (3) ◽  
pp. 819-822 ◽  
Author(s):  
James L. Frazier ◽  
Paul P. Wang ◽  
Salil H. Patel ◽  
Jane E. Benson ◽  
Duke E. Cameron ◽  
...  

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
B. Nitin ◽  
Manish Gupta ◽  
Anshul Singh

Introduction. Ventriculoperitoneal shunt is a common neurosurgical procedure, for the definitive management of hydrocephalus. Shunt failures may occur due to various causes but are usually due to infections in adults and catheter occlusion in the paediatric population. Case Report. The 13-year-old girl presented with a right lateral neck swelling. In detailed history, she was found to be an old case of ventriculoperitoneal shunt. The clinical examination and radiological investigation revealed proximal dislodgment of the stent from the cranium, causing persistent cerebrospinal fluid (CSF) leak and pseudocyst formation in the neck. Conclusion. The case highlights CSF pseudocyst formation as a rare differential for lateral neck swellings.


2021 ◽  
Vol 23 ◽  
pp. 100977
Author(s):  
Igor Vilela Faquini ◽  
Ricardo Brandão Fonseca ◽  
Auricélio Batista Cezar Junior ◽  
Bruno Corrêa de Albuquerque Leimig ◽  
Eduardo Just da Costa e Silva ◽  
...  

2005 ◽  
Vol 63 (2) ◽  
pp. 185-187 ◽  
Author(s):  
Myoung Soo Kim ◽  
Chang-Wan Oh ◽  
Jin Woo Hur ◽  
Jong-Won Lee ◽  
Hyun Koo Lee

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