Case report of enterocutaneous fistula due to non-functioning ventriculoperitoneal shunt

Abstract

Abdominal complications after placement of ventriculoperitoneal (VP) shunt are commonly reported but asymptomatic bowel perforation with enterocutaneous fistula (ECF) is rare. This case describes a young male patient who underwent VP shunt for hydrocephalus 10 years ago. He presented with ECF due to the non-functioning abdominal end of the shunt. Patient was managed with laparotomy with fistulectomy with bowel resection and anastomosis. ECF is a rare complication of VP shunt.

Evisceration Secondary to Coughing in a Child Undergoing Ventriculoperitoneal Shunt Surgery

“…Several complications related to DVP have been described, either mechanical with obstruction or disconnections, or infectious, CSF leakage or abdominal. These include intestinal perforation, ascites, peritoneal pseudocyst, evisceration [2][3][4][5]. In this article, we report a case of evisceration through the abdominal incision that occurred 6 days after VPS in a 5-month-old infant.…”