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

scholarly journals Ventriculoperitoneal Shunt Peritoneal Catheter Knot Formation

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Anwar Ul-Haq ◽  
Faisal Al-Otaibi ◽  
Saud Alshanafey ◽  
Mohamed Diya Sabbagh ◽  
Essam Al Shail
Keyword(s):  
Literature Review ◽  
Ventriculoperitoneal Shunt ◽  
Case Reports ◽  
Abdominal Cavity ◽  
Pediatric Neurosurgery ◽  
Shunt Infection ◽  
Peritoneal Catheter ◽  
Common Procedure ◽  
Vp Shunt ◽  
Laparoscopic Exploration

The ventriculoperitoneal (VP) shunt is a common procedure in pediatric neurosurgery that carries a risk of complications at cranial and abdominal sites. We report on the case of a child with shunt infection and malfunction. The peritoneal catheter was tethered within the abdominal cavity, precluding its removal. Subsequently, laparoscopic exploration identified a knot at the distal end of the peritoneal catheter around the omentum. A new VP shunt was inserted after the infection was healed. This type of complication occurs rarely, so there are a limited number of case reports in the literature. This report is complemented by a literature review.

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 case of ventriculoperitoneal shunt knot causing intestinal obstruction in an adult

2019 ◽  
Vol 6 (2) ◽  
pp. 640
Author(s):  
Mayank Bhasin ◽  
Karamjot Singh Bedi ◽  
Tarun Chaudhary ◽  
Gurvansh S. Sachdeva ◽  
Shantanu Kumar Sahu
Keyword(s):  
Intestinal Obstruction ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Exploratory Laparotomy ◽  
Vp Shunt ◽  
Primary Surgery ◽  
First Case ◽  
Ventriculoperitoneal Shunting ◽  
History Of ◽  
Low Incidence

Despite high incidence of complications, Ventriculoperitoneal shunting for hydrocephalus is the cornerstone and the most common neurosurgical procedure. Ventriculoperitoneal shunt knot causing intestinal obstruction is an extremely rare complication needing surgical intervention. A 19 years old male with history of VP shunting in infancy for hydrocephalus with no history of any revision surgery presented in emergency with pain abdomen and multiple episodes of vomiting for 2 days. X ray showed dilated bowel loops with a coiled up VP shunt in the abdomen. Exploratory laparotomy showed multiple dilated bowel loops with a loop of VP shunt around ileal segment with dense fibrotic adhesions causing obstruction. Extensive adhesiolysis was done. Procedure underwent uneventful. Patient recovered swiftly in postoperative period and is currently asymptomatic after 6 months of surgery. Improved surgery skills and shunt design have prevented much of the morbidity of VP shunting. Most of the cases reported earlier were paediatric patients with history of repetitive handling of catheter. We believe this to be the first case of intestinal obstruction by a VPS knot in an adult with no history of manipulation after primary surgery. Due to low incidence it is difficult to clinically suspect such an extremely rare complication. Therefore, an awareness of VP shunt related complications in adult is essential.

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.”

scholarly journals Ventriculoperitoneal Shunt

2018 ◽  
Vol 27 (2) ◽  
pp. 111-113
Author(s):  
Juliano Nery Navarro ◽  
Renato , Andrade Chaves ◽  
Atiana Peres Vilasboas Alves ◽  
Francisco de Assis Ulisses Sampaio Junior ◽  
Mariano Ebram Fiore ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Ventriculoperitoneal Shunt ◽  
Surgical Procedure ◽  
Contralateral Side ◽  
Case Description ◽  
Peritoneal Catheter ◽  
Cerebrospinal Fluid Shunting ◽  
Shunt Migration

Background: Cerebrospinal fluid shunting is the most commonly performed surgical procedure in the management of hydrocephalus. Although frequently performed, this procedure is not free of complications. Case description: We report a case of non-described shunt migration, in which the ventricle-peritoneal catheter, at the mediastinum level, crosses to the contralateral side. Conclusion: When we are faced with complications after ventriculoperitoneal shunt surgeries, we should consider unusual or even unpredictable possibilities.

scholarly journals Rectal migration of Ventriculo-peritonial shunt: a rare case report

2018 ◽  
Vol 32 (2) ◽  
pp. 303-305
Author(s):  
Anand Sharma ◽  
Avdesh Shukla ◽  
S.N. Iyengar
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Management Strategy ◽  
Rare Case ◽  
Rare Complication ◽  
Colonic Perforation ◽  
Review Of Literature ◽  
Vp Shunt ◽  
Rare Case Report ◽  
The Common

Abstract Colonic perforation following ventriculoperitoneal shunt is a rare complication. The common treatment is to remove the perforating catheter and replace with new one. In this case report we reported a rare case of colonic perforation following VP shunt and its anal migration. We have discussed its pathogenesis, management strategy and review of literature.

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.

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