A rare case of ventriculoperitoneal shunt malfunction due to scrotal migration of the peritoneal catheter

2017 ◽  
Vol 33 (5) ◽  
pp. 566-567
Author(s):  
Mitchell Foster ◽  
Graeme Wilson ◽  
Michael D. Jenkinson ◽  
Neil Buxton
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Case ◽  
Shunt Malfunction ◽  
Peritoneal Catheter

scholarly journals Repeated Peritoneal Catheter Blockage Caused by Neurocysticercosis Following Ventriculoperitoneal Shunt Placement for Hydrocephalus

2018 ◽  
Vol 09 (02) ◽  
pp. 268-271
Author(s):  
Zhi Hua Li ◽  
Zhong Quan Wang ◽  
Jing Cui ◽  
Fu You Guo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case ◽  
Histopathological Examination ◽  
Resonance Imaging ◽  
Peritoneal Catheter ◽  
Shunt Placement ◽  
Low Field ◽  
Inappropriate Treatment ◽  
Cerebral Cysticercosis

ABSTRACTCerebral cysticercosis is common, but the possibility for repeated occurrence of peritoneal catheter blockage caused by neurocysticercosis (NCC) after two revisions following ventriculoperitoneal shunt placement for hydrocephalus is unusual. Herein, we describe one rare case in which peritoneal catheter revision was performed two times unsuccessfully. Endoscopic cysternostomy rather than peritoneal catheter adjustment was performed successfully, and histopathological examination of excised cystic samples confirmed NCC in our hospital. The present case highlights the need for awareness of NCC as a possible etiology of hydrocephalus, especially in developing countries. Uncommon findings in both lateral ventricles following low-field magnetic resonance imaging scans as well as the rarity of this infection involved in unusual location play important roles in misdiagnosis and incorrect treatment for hydrocephalus; thus, endoscopic cysternostomy, rather than multiple shunt adjustment of the peritoneal end, is recommended in the selected patient. To the best of our knowledge, this is the first report describing the misdiagnosis and inappropriate treatment of hydrocephalus caused by cerebral cysticercosis in China.

scholarly journals Ventriculoperitoneal Shunt Disconnection, Shunt Migration, and Silent Bowel Perforation in a 10-Year-Old Boy

2019 ◽  
Vol 10 (02) ◽  
pp. 342-345
Author(s):  
Rajendra Kumar Ghritlaharey
Keyword(s):  
Intracranial Pressure ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case ◽  
Bowel Perforation ◽  
Postoperative Recovery ◽  
Raised Intracranial Pressure ◽  
Peritoneal Catheter ◽  
Tubercular Meningitis ◽  
Fecal Matter ◽  
Shunt Migration

ABSTRACTA 10-year-old boy was admitted with chest wall infection around the implanted ventriculoperitoneal shunt (VPS) catheter of 5 days. He had received a right-sided, medium pressure, whole-length VPS for hydrocephalus, following tubercular meningitis at the age of 3 years. Seven years, 9 months following VPS implantation, he was admitted with shunt tract infection at the chest area for 5 days. He had neither fever nor features of meningitis, raised intracranial pressure, or peritonitis. His clinical examination and radiological investigations revealed that the VPS catheter was disconnected at the cranial site, and it was migrated downward up to the upper chest. He was managed well with the removal of the entire VPS catheter. The removed peritoneal catheter along with the shunt chamber was loaded with fecal matter and was presumed that the peritoneal catheter was within the colon. His postoperative recovery was excellent. This is a rare case of VPS catheter disconnection, shunt migration, and silent bowel perforation by peritoneal catheter, and all the above-mentioned complications were detected in a child at the same time and were managed well with the removal of the entire VPS catheter.

Spontaneous peritoneal catheter knot formation: A rare cause of ventriculoperitoneal shunt malfunction

2017 ◽  
Vol 38 ◽  
pp. 67-68
Author(s):  
Idrees Sher ◽  
Shanu Gambhir ◽  
Sarah Pinto ◽  
Asim Mujic ◽  
Jens Peters-Willke ◽  
...  
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Shunt Malfunction ◽  
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>

scholarly journals A Rare Case of Intraparenchymal Cerebrospinal Fluid Cyst Associated With Ventriculoperitoneal Shunt in an Adult Patient

Cureus ◽  
2021 ◽  
Author(s):  
Pinak Shah ◽  
Kartika Shetty ◽  
Maycky Tang ◽  
Elnaz Saberi ◽  
Nazanin Sheikhan
Keyword(s):  
Cerebrospinal Fluid ◽  
Adult Patient ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case

scholarly journals Subgaleal Migration of the Distal Catheter of a Ventriculoperitoneal Shunt

2009 ◽  
Vol 52 (2) ◽  
pp. 77-79 ◽  
Author(s):  
Fatih Serhat Erol ◽  
Bekir Akgun
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Ventricular Catheter ◽  
Peritoneal Catheter ◽  
Shunt Valve ◽  
Distal Catheter ◽  
X Ray ◽  
Proximal Migration ◽  
Shunt Dysfunction ◽  
Valve Placement ◽  
The Brain

Proximal migration of the distal end of a ventriculoperitoneal shunt has been observed much more rarely than other numerous shunt-related complications. Subgaleal migration of the peritoneal end is one of the samples. In the preset report we have discussed a case of subgaleal migration of the peritoneal end detected as a result of the examinations performed for shunt dysfunction. There was ventricular dilatation on CT scan of the brain. X-ray examinations confirmed proper ventricular catheter and shunt valve placement but a complete migration of distal (peritoneal) catheter into the subgaleal space. Then the patient’s shunt was revised. When our case and the literature were examined, we observed that this complication was frequently encountered during the first postoperative months, in the pediatric ages and in patients with advanced hydrocephalus. Besides, we have detected that the peritoneal catheters had tendency to migration into the subgaleal tissues similar to pre-insertion forms of the preoperatively original packages.

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