Shunt Catheter Migration Due to Negative Thoracic Pressure

2021 ◽  
Vol 146 ◽  
pp. 177-178
Author(s):  
Zaid Aljuboori ◽  
Emily Sieg
2012 ◽  
Vol 03 (03) ◽  
pp. 361-364 ◽  
Author(s):  
Ramesh Teegala ◽  
Laxmi Prasanna Kota

ABSTRACTVentriculo peritoneal (VP) shunt surgery is one of the common neurosurgical procedures employed in the management of hydrocephalus. Numerous complications related to this procedure are reported in the literature. Peritoneal catheterrelated complications are the usual causes of the shunt malfunction. We report three unusual cases of peritoneal shunt catheter migration in children. Two cases are of anal and one vaginal extrusion. Possible mechanisms of migration and management strategies were discussed.


2008 ◽  
Vol 56 (1) ◽  
pp. 102
Author(s):  
Miikka Korja ◽  
MattiK Karvonen ◽  
Arto Haapanen ◽  
ReijoJ Marttila

2020 ◽  
Vol 55 (4) ◽  
pp. 322
Author(s):  
Asra Al Fauzi ◽  
Muhammad Arifin Parenrengi ◽  
Joni Wahyuhadi ◽  
Eko Agus Subagio ◽  
Agus Turchan

The complications of ventriculoperitoneal (VP) shunts are many and are reported in literature extensively. The complication of transanal extrusion after bowel perforation is known although rare. This complication is very well described amongst the children. The authors describe the case of bowel perforation and transanal extrusion of a VP shunt occurring in a 51-year-old adult patient. The patient has a history of craniotomy for acute subdural hematoma after severe head injury one year ago continued with VP shunt for post-traumatic hydrocephalus. Home care with bedridden conditions is done at home until finally, the family gets the catheter extrude from the transanal. Bowel perforation and transanal extrusion of VP shunt catheter is a rare but serious problem. The exact pathogenesis of shunt-related organ perforation and extrusion through the anus is unclear, and various mechanisms have been suggested, Among many factors, age is the prominent factor for bowel perforation.1 Because of weak bowel musculature and stronger peristaltic activity, children are more susceptible to bowel perforation than adult patients. In adult shunted patient, one of the risk factors is related to PVS with chronic immobilization, as described in this case. Risk factors of bowel perforation in adult are quite distinct from children. Persistent vegetative state (PVS) with chronic immobilization is one of the risk factors to be aware of.


2021 ◽  
Vol 55 (4) ◽  
pp. 322
Author(s):  
Asra Al Fauzi ◽  
Muhammad Arifin Parenrengi ◽  
Joni Wahyuhadi ◽  
Eko Agus Subagio ◽  
Agus Turchan

The complications of ventriculoperitoneal (VP) shunts are many and are reported in literature extensively. The complication of transanal extrusion after bowel perforation is known although rare. This complication is very well described amongst the children. The authors describe the case of bowel perforation and transanal extrusion of a VP shunt occurring in a 51-year-old adult patient. The patient has a history of craniotomy for acute subdural hematoma after severe head injury one year ago continued with VP shunt for post-traumatic hydrocephalus. Home care with bedridden conditions is done at home until finally, the family gets the catheter extrude from the transanal. Bowel perforation and transanal extrusion of VP shunt catheter is a rare but serious problem. The exact pathogenesis of shunt-related organ perforation and extrusion through the anus is unclear, and various mechanisms have been suggested, Among many factors, age is the prominent factor for bowel perforation.1 Because of weak bowel musculature and stronger peristaltic activity, children are more susceptible to bowel perforation than adult patients. In adult shunted patient, one of the risk factors is related to PVS with chronic immobilization, as described in this case. Risk factors of bowel perforation in adult are quite distinct from children. Persistent vegetative state (PVS) with chronic immobilization is one of the risk factors to be aware of.


Neurosurgery ◽  
1987 ◽  
Vol 21 (2) ◽  
pp. 255-257 ◽  
Author(s):  
Shizuo Oi ◽  
Yoshiteru Shose ◽  
Noboru Asano ◽  
Takehito Oshio ◽  
Satoshi Matsumoto

Abstract A child developed bacterial meningitis and shunt dysfunction 2 years after the insertion of a ventriculoperitoneal shunt for posttraumatic hydrocephalus. The distal end of the shunt catheter had penetrated the gastric wall. We found no other report of intragastric shunt catheter migration with successful treatment


Neurosurgery ◽  
2003 ◽  
Vol 53 (2) ◽  
pp. 441-443 ◽  
Author(s):  
Khan W. Li ◽  
Elisa Ciceri ◽  
Giovanni Lasio ◽  
Carlo L. Solero ◽  
Francesco DiMeco

Abstract OBJECTIVE AND IMPORTANCE Shunt catheter migration is a potential complication of cerebrospinal fluid shunting procedures. We report an unusual case of proximal shunt migration into the sphenoid sinus. To our knowledge, there have been no previous reports of shunt migration through the bony structures of the cranial base. CLINICAL PRESENTATION A 41-year-old man who had had a cyst-to-peritoneum shunt placed 21 years earlier for a temporal lobe arachnoid cyst presented with cerebrospinal fluid rhinorrhea. Neuroradiological imaging revealed migration of the shunt catheter through the medial wall of the middle temporal fossa into the sphenoid sinus. INTERVENTION The patient underwent shunt removal and repair of the dural defect. Intraoperatively, the proximal catheter tip was found in the sphenoid sinus with dural and bony erosion. The patient made an uneventful recovery. CONCLUSION We present a unique long-term complication associated with intracranial shunt catheters. We hypothesize that excessive proximal catheter length and chronic cerebrospinal fluid pulsations contributed to migration of the catheter into the sphenoid sinus.


2020 ◽  
Vol 2 (2(May-August)) ◽  
pp. e282020
Author(s):  
Antônio Gilson Prates Junior ◽  
Fernando Augusto Medeiros Carrera Macedo ◽  
Emmanuel De Oliveira Vasconcelos e Sá ◽  
Ana Luisa Ribeiro Pinto

Introduction: The ventriculoperitoneal shunt is the most widely used surgical procedure for the treatment of hydrocephalus. It is associated with numerous mechanical complications, including distal catheter migration. Case report: We present a case in which the peritoneal catheter migrated into the scrotum. The patient was admitted with asymmetric scrotal swelling and, during hospitalization, developed shunt dysfunction and infection. The shunt was withdrawn and treatment was initiated for infection. At the end of treatment, a new shunt was implanted and bilateral hernioplasty was performed by the pediatric surgery team. At follow-up, there was adequate head circumference growth and no testicular abnormalities. Discussion: The procesus vaginalis is formed from the evagination of the peritoneum through the inguinal canal, leading to the descent of the testis during the embryonic period. The patency of this structure is the predisposing anatomical condition for the occurrence of inguinal hernia and for the migration of the shunt catheter into the scrotum. This condition is present in up to 80% of newborns and 60% of 1-year-old infants. The migration of the catheter commonly occurs until 12 months after surgery, typically on the right side. Conclusion: The presence of scrotal swelling in a patient with ventriculoperitoneal shunt should warrant the investigation of catheter migration. 


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