Migration of ventriculoperitoneal shunt into the chest

1978 ◽  
Vol 48 (1) ◽  
pp. 146-147 ◽  
Author(s):  
Jack R. Cooper

✓ A case is presented of a baby in whom the abdominal catheter of a ventriculoperitoneal shunt entered the thoracic cavity. It is believed that the catheter migrated along the xiphocostal margin beneath the rectus abdominis muscle.

1973 ◽  
Vol 38 (6) ◽  
pp. 758-760 ◽  
Author(s):  
Adelola Adeloye

✓ This paper reports the spontaneous extrusion of the abdominal portion of a ventriculoperitoneal shunt through the umbilicus. Some of the possible predisposing factors are discussed.


1975 ◽  
Vol 43 (5) ◽  
pp. 631-633 ◽  
Author(s):  
Lawrence H. Pitts ◽  
Charles B. Wilson ◽  
Herbert H. Dedo ◽  
Robert Weyand

✓ The authors describe a case of massive pneumocephalus following ventriculoperitoneal shunting for hydrocephalus. After multiple diagnostic and surgical procedures, congenital defects in the tegmen tympani of both temporal bones were identified as the sources for entry of air. A functioning shunt intermittently established negative intracranial pressure and allowed ingress of air through these abnormalities; when the shunt was occluded, air did not enter the skull, and there was no cerebrospinal fluid leakage. Repair of these middle ear defects prevented further recurrence of pneumocephalus.


1971 ◽  
Vol 35 (1) ◽  
pp. 95-96 ◽  
Author(s):  
Thomas H. Sakoda ◽  
John A. Maxwell ◽  
Charles E. Brackett

✓ Volvulus with intestinal obstruction is an unusual complication of ventriculoperitoneal shunting. It was the most serious of the few complications experienced in 56 cases of intraperitoneal Silastic catheter implantation and probably represented reaction to the peritoneal incision rather than reaction of the tissue to Silastic.


1975 ◽  
Vol 43 (4) ◽  
pp. 476-480 ◽  
Author(s):  
S. Walton Parry ◽  
John F. Schuhmacher ◽  
Raeburn C. Llewellyn

✓The authors report three patients with abdominal pseudocysts and one with cerebrospinal fluid ascites as late complications of ventriculoperitoneal shunts. The presenting signs and symptoms were those of an intraabdominal abnormality, with no neurological symptoms suggestive of shunt malfunction.


1996 ◽  
Vol 84 (4) ◽  
pp. 617-623 ◽  
Author(s):  
Paul Steinbok ◽  
D. Douglas Cochrane ◽  
John R. W. Kestle

✓ The purpose of this study was to determine the significance of “asymptomatic bacteriological shunt contamination” (ABSC), defined as a positive bacteriological culture found on a ventricular shunt component in the absence of bacteria in the cerebrospinal fluid (CSF) culture and/or clinical evidence of infection. Of 174 ventriculoperitoneal shunt revisions, 19 cases of ABSC were identified and reviewed retrospectively. In all but one case, no antibiotic medications were instituted because of the positive bacteriological culture. The most common infecting organisms were coagulase-negative staphylococci (seven) and propionibacteria (eight). A comparison of the 19 study cases with the authors' overall shunt experience, as documented in the British Columbia's Children's Hospital shunt database for the time period of the study, lead the authors to suggest that ABSC was not of significance in causing the shunt failure at which contamination was identified and, more importantly, did not increase the risk of future shunt malfunction. The results of this study indicate that in the absence of clinical evidence of shunt infection or a positive bacteriological culture from CSF, bacteria in a shunt component removed at revision in a child almost always represents a contaminant that may be ignored. Therefore, the authors advise that routine culture of shunt components removed at revision of a shunt is not indicated.


1991 ◽  
Vol 75 (6) ◽  
pp. 960-962 ◽  
Author(s):  
Akira Watanabe ◽  
Ryoji Ishii ◽  
Masaki Kamada ◽  
Yasuo Suzuki ◽  
Kazuhiro Hirano ◽  
...  

✓ A case is reported of aqueductal stenosis caused by an abnormal draining vein and demonstrated by computerized tomography and magnetic resonance imaging. Placement of a ventriculoperitoneal shunt relieved the patient's progressive headaches.


2005 ◽  
Vol 102 (2) ◽  
pp. 386-388 ◽  
Author(s):  
Richard G. Perrin ◽  
Mark Bernstein

✓ A case of pneumoventricle following insertion of a ventriculoperitoneal shunt for hydrocephalus is described. The pneumoventricle was associated with significant morbidity, which improved with treatment. The authors propose a rational treatment for this condition, which, as far as they know, has not previously been described. They also discuss potential mechanisms involved in the pathogenesis of pneumoventricle.


1981 ◽  
Vol 54 (2) ◽  
pp. 257-260 ◽  
Author(s):  
Rodger Fagerburg ◽  
Byungse Shu ◽  
Helen R. Buckley ◽  
Bennett Lorber ◽  
John Karian

✓ A 57-year-old woman underwent ventriculoperitoneal shunt placement for noncommunicating hydrocephalus. She required several shunt revisions over a 2-year period for recurrent hydrocephalus. The shunt was subsequently found to be obstructed by growth of the saprophytic fungus, Paecilomyces variotii, an infrequent human pathogen. Paecilomyces infections have caused complications associated with prosthetic cardiac valves and synthetic lens implantation; this is the first reported association with a cerebrospinal fluid shunt.


1985 ◽  
Vol 63 (3) ◽  
pp. 459-460 ◽  
Author(s):  
Junya Hanakita ◽  
Takanori Suzuki ◽  
Yoshisuke Yamamoto ◽  
Yuji Kinuta ◽  
Kiyoshi Nishihara

✓ Malfunction of a ventriculoperitoneal shunt is reported in a 25-year-old woman at 32 weeks of gestation. Pregnancies and delivery in women with cerebrospinal fluid shunts are rarely reported, and malfunction of a shunt system during pregnancy is extremely unusual.


1982 ◽  
Vol 56 (4) ◽  
pp. 587-589 ◽  
Author(s):  
Gay M. Guzinski ◽  
William J. Meyer ◽  
John D. Loeser

✓ Retrieval of free abdominal ventriculoperitoneal shunt catheters usually requires laparotomy. The authors describe successful removal of free peritoneal catheters by means of commonly available adult laparoscopic equipment in four pediatric patients aged 2 to 12 years.


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