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.

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

Neurosurgical Aspects of Cerebral Cryptococcosis

Neurosurgery ◽  
1989 ◽  
Vol 25 (1) ◽  
pp. 44-48 ◽  
Author(s):  
Kwan-Hon Chan ◽  
Kirpal S. Mann ◽  
Chung P. Yue
Keyword(s):  
Intracranial Pressure ◽  
Ventriculoperitoneal Shunt ◽  
Original Work ◽  
External Ventricular Drainage ◽  
Subdural Effusion ◽  
Cystic Lesions ◽  
Raised Intracranial Pressure ◽  
Ventricular Drainage ◽  
Impaired Consciousness ◽  
High Incidence

Abstract Eleven patients with raised intracranial pressure caused by cerebral cryptococcosis developed complications requiring neurosurgical operations. Two patients were fully conscious on admission, and 9 had impaired consciousness, four of whom were comatose. Seven patients were found to have hydrocephalus only. Two patients had cerebral edema initially, and 2 had cystic lesions. One of the latter developed subdural effusion. All patients eventually developed progressive hydrocephalus requiring placement of a ventriculoperitoneal shunt. Four patients were initially treated by external ventricular drainage. When external ventricular drainage was used initially, there were no associated complications; however, there was a high incidence of complications (4 of 7 patients) when a ventriculoperitoneal shunt was placed as the initial treatment. Of the 11 patients, 10 (91%) survived; of these 9 (82%) made an excellent recovery and 7 (64%) returned to their original work. The patient who died had been receiving steroid therapy for hypopituitarism.

scholarly journals Ventriculoperitoneal Shunt Migration Inside the Gastric Lumen: A Rare Case Report

Cureus ◽  
2019 ◽  
Author(s):  
Jasdeep S Sidhu ◽  
Amrendra Mandal ◽  
Paritosh Kafle ◽  
Baikuntha Chaulagai ◽  
Vijay Gayam
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case ◽  
Rare Case Report ◽  
Gastric Lumen ◽  
Shunt Migration

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 Unusual complication of ventriculoperitoneal shunt

2013 ◽  
Vol 20 (4) ◽  
pp. 375-378 ◽  
Author(s):  
Omotayo A. Ojo ◽  
Olumide Elebute ◽  
Okezie O. Kanu ◽  
Olusegun Adebisi Popoola
Keyword(s):  
Foreign Body ◽  
Conventional Method ◽  
Ventriculoperitoneal Shunt ◽  
Rare Case ◽  
Endoscopic Third Ventriculostomy ◽  
Shunt Infection ◽  
Third Ventriculostomy ◽  
Unusual Complication ◽  
Major Disadvantage ◽  
Shunt Migration

Abstract Ventriculoperitoneal shunt (VPS) is the conventional method of managing hydrocephalus until recently that endoscopic third ventriculostomy is becoming popular. The major disadvantage of VPS is the fact that it constitutes a foreign body and prone to complications such as mechanical blockage, shunt infection, shunt migration and rarely shunt protrusion. Shunt extrusion through the vagina and anus are rare but have been documented. We present a rare case of shunt migrating through the external inguinal ring into the scrotal sac in a patient.

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 Ossified Occipital Pseudomeningocele following Ventriculoperitoneal Shunt Malfunction

2019 ◽  
Vol 10 (03) ◽  
pp. 542-544
Author(s):  
Anusha S. Bhatt ◽  
Ajit M. Mishra ◽  
Radhika Mhatre ◽  
Bevinahalli N. Nandeesh
Keyword(s):  
Computed Tomography ◽  
Intracranial Pressure ◽  
Treatment Option ◽  
Ventriculoperitoneal Shunt ◽  
Aqueductal Stenosis ◽  
Shunt Malfunction ◽  
Rare Entity ◽  
Raised Intracranial Pressure ◽  
Rare Occurrence ◽  
Vp Shunt

AbstractOssification of pseudomeningocele is a rare occurrence and is one of the rare complications of ventriculoperitoneal (VP) shunt malfunction. We report a case of 12-year-old boy who came with features of raised intracranial pressure following shunt malfunction which was placed as a treatment to the aqueductal stenosis. Computed tomography showed ventriculomegaly and hypodense collection in the occiput with posterior rim of calcification. The findings were confirmed on histopathology. Although ossified pseudomeningocele is a rare entity following VP shunt placement, it should be suspected if patients present with aggravated symptoms, especially if there is shunt malfunction as the treatment option varies with the presence or absence of resultant symptoms and ossification.

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