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.

scholarly journals Pseudocyst of Abdomen Presenting as a Huge Abdominal Mass after Ventriculoperitoneal Shunt: A Case Report

2021 ◽  
Vol 10 (2) ◽  
pp. 87-89
Author(s):  
Suman Adhikari ◽  
Prabin Bhandari ◽  
Balgopal Karmacharya ◽  
Nikunja Yogi
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Epithelial Lining ◽  
Vp Shunt ◽  
Abdominal Pseudocyst ◽  
Surgical Modality ◽  
Shunt Obstruction ◽  
Pseudocyst Formation

A ventriculoperitoneal shunt is a major surgical modality to relieve intracranial pressure in patients with hydrocephalus. Shunt obstruction and infection are the most common complications following shunt surgery whereas VP shunt-associated pseudocyst formation is a rare complication. These are the cystic space without the epithelial lining, filled with fluid around the distal tip of the catheter. In this case report, we present you a 47-year-old male who underwent VP shunt placed a year back presented with huge abdominal swelling, headache, and weight loss. CT scan of the abdomen showed abdominal pseudocyst with the peritoneal end of the shunt within the cyst. Though the exact mechanism is not known, abdominal adhesion, multiple revisions, obstruction, or dislodgement are thought to predispose to the formation of a pseudocyst.

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>

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

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 Scrotal Mass: A Rare Complication of Ventriculoperitoneal Shunt

2011 ◽  
Vol 54 (2) ◽  
pp. 81-82 ◽  
Author(s):  
Christopher C. K. Ho ◽  
Wan Jasman Jamaludin ◽  
Eng Hong Goh ◽  
Praveen Singam ◽  
Zulkifli Zainuddin
Keyword(s):  
Peritoneal Cavity ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Hernia Sac ◽  
Ventriculoperitoneal Shunts ◽  
Scrotal Mass ◽  
Scrotal Swelling ◽  
And Migration

Ventriculoperitoneal shunts are associated with multiple complications. Among them are disconnection and migration of the tubing into the peritoneal cavity. Here we describe a case of a fractured ventriculoperitoneal shunt which migrated and coiled in the scrotum, masquerading as a scrotal swelling. Removal of the shunt via a scrotal incision was performed concomitantly with repair of the hernia sac.

scholarly journals Pseudocyst in Neck: A Case Report on Rare Complication of Ventriculoperitoneal Shunt

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
B. Nitin ◽  
Manish Gupta ◽  
Anshul Singh
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Paediatric Population ◽  
Csf Leak ◽  
Lateral Neck ◽  
Radiological Investigation ◽  
Neurosurgical Procedure ◽  
Lateral Neck Swelling ◽  
Pseudocyst Formation

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.

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.”

Distal end revision of ventriculoperitoneal shunts sparing minilaparotomy

1996 ◽  
Vol 85 (6) ◽  
pp. 1187-1188 ◽  
Author(s):  
Ismail H. Tekkök ◽  
Michael J. Higgins ◽  
Enrique C. G. Ventureyra
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Simple Technique ◽  
Peritoneal Catheter ◽  
Content Type ◽  
Ventriculoperitoneal Shunts ◽  
Catheter Replacement ◽  
Fine Print

✓ Distal end malfunction of a ventriculoperitoneal shunt occurs secondary to outgrown, disconnected, fractured, or occluded peritoneal catheters. Replacement of such catheters normally requires a minilaparotomy. The authors describe a simple technique for peritoneal catheter replacement without minilaparotomy.

Sign in / Sign up

Export Citation Format

Share Document