Complete intracranial migration of a ventriculoperitoneal shunt: Rare complication of a common procedure

2015 ◽  
Vol 63 (6) ◽  
pp. 1008
Author(s):  
Parthasarathi Datta
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Common Procedure

Complete intracranial migration of a ventriculoperitoneal shunt: Rare complication of a common procedure

2015 ◽  
Vol 63 (1) ◽  
pp. 106 ◽  
Author(s):  
Manish Agrawal ◽  
Mayank Bansal ◽  
Ashok Gupta ◽  
RakeshKumar Sharma ◽  
Virendradeo Sinha
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Common Procedure

scholarly journals Complete intracranial migration of ventriculoperitoneal shunt: a common procedure with a rare complication

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Hammad Mehtab ◽  
Ahtesham Khizar ◽  
Soha Zahid ◽  
Sameer Saleem Tebha ◽  
Maha Irfan
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Head Movements ◽  
Operative Techniques ◽  
Good Clinical Outcome ◽  
Patient Handling ◽  
Common Procedure ◽  
Shunt Insertion ◽  
Case Presentation ◽  
Shunt Migration

Abstract Background Ventriculoperitoneal shunt insertion is widely used in the treatment of different kinds of hydrocephalus. Shunt failure is one of the most common complications; however complete intracranial shunt migration is rarely reported. Case presentation We report a case of an eleven-month-old girl with complete intracranial migration of Ventriculoperitoneal Shunt (Chhabra Shunt). We removed this intracranially migrated shunt with the help of an endoscope (GAAB) and inserted a new Ventriculoperitoneal Shunt (Medtronic Shunt) on the opposite side. She had a good clinical outcome. Conclusion Complete intracranial shunt migration is an extremely rare complication. It is likely due to raised intra-peritoneal pressure, strong head movements, and inadequate shunt fixation. The best possible approach to prevent shunt migration would be better patient handling along with appropriate operative techniques.

scholarly journals An Indigenous Method of Securing Ventriculoperitoneal Shunt Tube in Peritoneal Cavity

2021 ◽  
Author(s):  
Samir Kumar Kalra ◽  
Krishna Shah ◽  
Sneyhil Tyagi ◽  
Suviraj John ◽  
Rajesh Acharya
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Operation Time ◽  
Complication Rates ◽  
Effective Technique ◽  
Common Procedure ◽  
Shunt System ◽  
Shunt Tube ◽  
Csf Diversion ◽  
Median Operation Time

Abstract Introduction Ventriculoperitoneal shunt (VPS) is the most common procedure used for cerebrospinal fluid (CSF) diversion in hydrocephalus. Over the years, many technical, procedural, and instrument-related advancements have taken place which have reduced the associated complication rates. Shunt block is a very common complication irrespective of the shunt system used. The abdominal end of the shunt tube gets blocked usually due to plugging of omentum onto the shunt catheter. We describe a technique of catheter fixation and placement under vision coupled with omentopexy done laparoscopically to prevent this complication. Materials and Methods This technique was used in 23 patients (11 female, 12 male; range 16–73 years) afflicted with hydrocephalus from June 2016 and December 2019 after obtaining an informed consent, and the outcomes were noted in terms of shunt patency, complications, if any, and the need for revision. Results The median operation time was 90 minutes (range 35–160 minutes). All shunt catheters were still functional after a mean follow-up of 16.5 months (range 1–34 months) and none required revision. Conclusion Laparoscopic placement of shunt tube along with omental folding is a safe and effective technique for salvaging the abdominal end of VPS and may be helpful in reducing shunt blockage.

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>

Umbilical CSF fistula: a rare complication of ventriculoperitoneal shunt

2006 ◽  
Vol 148 (11) ◽  
pp. 1205-1207 ◽  
Author(s):  
A. Gupta ◽  
F. U. Ahmad ◽  
A. Kumar ◽  
S. Gaikwad ◽  
S. Vaishya
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Csf Fistula

A rare complication of ventriculoperitoneal shunt in a neonate

2018 ◽  
Vol 104 (9) ◽  
pp. 908-908
Author(s):  
Sandy Kirolos ◽  
Emer Campbell ◽  
Anne Marie Heuchan ◽  
Mairi Steven ◽  
Ruth Allen
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication

scholarly journals Acute Pancreatitis Secondary to Hemobilia after Percutaneous Liver Biopsy: A Rare Complication of a Common Procedure, Presenting in an Atypical Fashion

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Ramy Mansour ◽  
Justin Miller
Keyword(s):  
Acute Pancreatitis ◽  
Liver Biopsy ◽  
Rare Complication ◽  
Signs And Symptoms ◽  
Transcatheter Embolization ◽  
Percutaneous Liver Biopsy ◽  
Imaging Studies ◽  
Common Procedure ◽  
Elevated Alkaline Phosphatase ◽  
Negative Imaging

Percutaneous Liver Biopsy is an often-required procedure for the evaluation of multiple liver diseases. The complications are rare but well reported. Here we present a case of a 60-year-old overweight female who underwent liver biopsy for elevated alkaline phosphatase. She developed acute pancreatitis secondary to hemobilia, with atypical signs and symptoms, following the biopsy. She never had the classic triad of RUQ pain, jaundice, and upper GI hemorrhage. There were also multiple negative imaging studies, thus complicating the presentation. She was successfully treated with ERCP, sphincterotomy, balloon sweep, and stent placement. Angiography and transcatheter embolization were not required.

Ventriculoperitoneal shunt induced neck mass mimicking sternocleidomastoid tumour: a previously unreported complication

2020 ◽  
Vol 13 (7) ◽  
pp. e233736
Author(s):  
Mahendra Kumar Jangid ◽  
Reyaz Ahmad ◽  
Garima Goel ◽  
Sujeet Pandre
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Neck Mass ◽  
Initial Operation ◽  
Neck Movement ◽  
Complete Excision ◽  
Large Neck

Ventriculoperitoneal shunt (VPS) for hydrocephalus is associated with various complications. Torticollis due to shunt tract fibrosis is a rare complication of VPS that occurs years later after the initial operation. However, shunt track fibrosis that progressed to large neck mass, mimicking sternocleidomastoid tumour and causing torticollis is a previously unreported complication. This led to the restriction of neck movement and hemifacial hypoplasia. Complete excision of the mass restored neck movement.

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