scholarly journals Unusual Gross Pneumocephalus and Pneumoperitoneum after VP Shunt Surgery: A Case Report

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
A Khanolkar ◽  
YK Sarin

We report an unusual case where a two-month infant developed a simultaneous and spontaneous pneumocephalus and gross pneumoperitoneum along with progressive surgical emphysema after VP shunt procedure.

2017 ◽  
Vol 31 (3) ◽  
pp. 422-425
Author(s):  
Prajapati Hanuman Prasad ◽  
Singh Deepak Kumar ◽  
Singh Rakesh Kumar ◽  
Ahmed Faran ◽  
Chhabra Anuj

Abstract Ventriculoperitoneal (VP) shunt, a common neurosurgical procedure, has a long list of known complications associated with it. A rare but dangerous complication of VP shunt procedure is extradural hematoma (EDH). It can be diagnosed and managed easily before it turns into a catastrophic complication.


2017 ◽  
Vol 31 (2) ◽  
pp. 253-256
Author(s):  
Manish Garg ◽  
Deepashu Sachdeva ◽  
Ketan Patel ◽  
Anita Jagetia ◽  
A. K. Srivastava

Abstract ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Porag

Abstract Aim Re-audit the practice of proper documentation of shunt type and settings in VP shunt surgery in Queen's Medical Centre, Nottingham for the period of 1st November 2019 – 31st October 2020. It is very important as programmable shunt setting could get changed during MRI, causing shunt failure. Method It was a retrospective collection of data of patients admitted to Queens medical Centre, Nottingham who had undergone VP shunt procedure. Exceptions: 4 files were excluded from study as they did not undergo VP shunt procedure. Results Total number of patients: 98. 4 patients were excluded. Actual sample size 94. Total VP shunt procedure done: 107. In 96 out of 107 procedures the shunt valve type and settings were properly documented. In 11 out of 107 procedures the shunt valve type and settings were not documented. In 33 out of 107 procedures programmable shunt valves were used. All 33 procedures had proper documentations. Previous audit result Duration of data collection: 2 years (from March 2016 to February 2018). Sample size 200. Total VP shunts done 247. Proper documentation of shunt valve type and settings were done in 209 out of 247 procedures. In 38 out of 247 procedures shunt valve type and settings were not documented. In 55 out of 247 procedures programmable shunt valves were used. 3 out of these 55 procedures (programmable shunt valves) lacked proper documentation. Conclusions There is an overall improvement in the practice of documentation of VP shunt valve type and settings in operative notes after implementing the plan of actions decided on first audit.


2016 ◽  
Vol 12 (1) ◽  
pp. 46-48
Author(s):  
Ram Kumar Shrestha ◽  
Mohan Raj Sharma ◽  
Gopal Sedain

Subdural Hematoma (SDH) or effusion following Ventriculoperitoneal (VP) shunt for hydrocephalous is not an unusual complication. However, we rarely come across organized chronic subdural hematoma (CSDH) following shunts. We present a case of organized CSDH in a four-year-old female child who presented with seizure three and half year after the VP Shunt placement for obstructive hydrocephalus due to aqueductal stenosis. The child was managed with craniotomy and evacuation of hematoma with membranectomy. We report this unusual case and review the relevent literature.Nepal Journal of Neuroscience 12:46-48, 2015


2021 ◽  
Vol 6 (1) ◽  
pp. 1416-1418
Author(s):  
Mohan Karki ◽  
Yam Bahadur Roka

Hydrocephalus in case of hemorrhagic stroke with intravetricular extension is common complication, but without intraventricular extension is rare. However, we rarely find hydrocephalus following resolved hemorrhagic stroke. We present a case of communicating hydrocephalus in 65 year female who presented with left sided weakness, disoriented and loss of consciousness since few weeks. Patient was managed with ventriculoperitoneal (VP) shunt. We report this unusual case with pertinent literature. 


2005 ◽  
Vol 8 (1) ◽  
pp. 23 ◽  
Author(s):  
Sanjay Kumar ◽  
Bharati Sinha

Chylopericardium after intrapericardial cardiac operations is extremely rare. We present an unusual case of postoperative chylopericardium with cardiac tamponade following atrial septal defect repair, and we comment on the clinical course and treatment.


2011 ◽  
Vol 4 (7) ◽  
pp. 537-538
Author(s):  
Dr. Saurabh Chaudhuri ◽  
◽  
Dr. Priscilla Joshi ◽  
Dr. Mohit Goel ◽  
Dr. Wasim Siddiqui

2015 ◽  
Vol 24 (2) ◽  
pp. 235-239 ◽  
Author(s):  
Jan Ulrych ◽  
Vladimir Fryba ◽  
Helena Skalova ◽  
Zdenek Krska ◽  
Tomas Krechler ◽  
...  

Heterotopic pancreas is a congenital pathology of the gastrointestinal tract, particularly rare in the esophagus. Both symptomatology and findings during preoperative examinations are non-specific and therefore do not often lead to an accurate diagnosis, which is usually revealed only by histopathological assessment of a resected specimen. We report an unusual case of a patient suffering from severe dysphagia caused by heterotopic pancreas in the distal esophagus with chronic inflammation and foci of premalignant changes. This article also reviews 14 adult cases of heterotopic pancreas in the esophagus previously reported in the literature, with the aim of determining the clinical features of this disease and possible complications including rare premalignant lesions and malignant transformation. Especially with regard to those complications, we suggest that both symptomatic and incidentally found asymptomatic lesions should be resected.


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