Gastric Perforation due to Ventriculo-Peritoneal Shunt

Alonso-Vanegas, Mario; Jl, Alvarez; Delgado, Luís; Mendizabal, R; Jiménez, José Luís; Jm, Sanchez-Cabrera

doi:10.1159/000120834

Cited by 44 publications

(34 citation statements)

References 6 publications

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“…Medical literature lists many diff erent kinds of complications that can affect distal catheter: abdominal abscesses, perforations of visceral organs, obstructions of the urotract and the intestinal obstructions, peritonitis, ascytes, omentum lacerations, and the forming of peritoneal CSF pseudocysts [1,3,4,7,10,11,13,16]. In addition, the diff erent locations to which the distal catheter occasionally migrates are similarly listed: large intestine, stomach, and extraperitonealy: thorax, vagina, inferior venal cava [5,9,12,15,19].…”

Section: Discussionmentioning

confidence: 99%

CSF liver pseudocyst as a complication of a ventriculoperitoneal shunt

Kolić

Kukuljan

Bonifačić

et al. 2010

Wien Klin Wochenschr

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We have a 30-year-old female patient suffering from secondary hydrocephalus. She has had a ventriculoperitoneal shunt (VPS) implanted following a rupture and a successful clipping of the aneurysm of the anterior communicating artery (ACoA). Three weeks after implanting of the VPS, respiratory and abdominal difficulties with febrility appeared. We diagnosed cerebrospinal fluid liver pseudocyst using ultrasound (US) and computer tomography scan (CT). Given that we found bacteria in the cerebrospinal fluid (CSF), we converted VPS into an external ventricular drain (EVD). After that, we conducted a US-guided punction and drainage of the CSF liver pseudocyst. The subsequent CT of abdomen showed a regression of the cystic form. The patient died following the septic condition with multiple organ failures (MOF) a month after the cerebrospinal fluid liver pseudocyst diagnosis.The perforation of parenhimatose abdominal organs with distal part of VPS is a rare complication which is most likely a consequence of a shunt infection and of an immunological reaction that took place during the process of localizing an infection.

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Section: Discussionmentioning

confidence: 99%

CSF liver pseudocyst as a complication of a ventriculoperitoneal shunt

Kolić

Kukuljan

Bonifačić

et al. 2010

Wien Klin Wochenschr

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“…Treatment of these 2 patients was described as suprapubic cystostomy, catheter removal, bladder repair, and antibiotic therapy [1]. There have also been reports of migration of the distal end of the VP shunt into the stomach [2,3], liver [4], pulmonary artery [5,6,7,8], inferior vena cava [9], heart [5,7,8,10,11,12,13], bowel with or without catheter protrusion from the anus [1,14,15,16,17,18,19,20,21,22,23,24,25,26], scrotum [27], vagina [28], and transoral protrusion [29,30,31]. …”

Section: Discussionmentioning

confidence: 99%

Erosive Bladder Perforation as a Complication of Ventriculoperitoneal Shunt with Extrusion from the Urethral Meatus: Case Report and Literature Review

Pohlman

Wilcox²,

Hankinson

2011

Pediatr Neurosurg

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Ventriculoperitoneal (VP) shunt surgery is the most common technique used in the treatment of hydrocephalus. Erosive bladder perforation is an extremely rare complication of VP shunt surgery. Only 2 cases of erosive bladder perforation by a peritoneal catheter have been reported in the English literature. The authors present the case of a 14-year-old male with a history of cerebral palsy, severe developmental delay and hydrocephalus who presented with VP shunt tubing protruding from his urethral meatus. The patient had no evidence of neurological change. The VP shunt had been last revised over 11 years prior to admission. Imaging demonstrated the VP shunt to be intact, but displaced inferiorly, with the ventricular catheter in the extracranial soft tissue of the neck and the peritoneal catheter passing into the abdomen, bladder, and out through the urethra. Shunt removal was achieved through a multidisciplinary approach, involving both neurosurgery and urology teams. The authors discuss other reported cases of perforation by a VP shunt, potential mechanisms, and considerations for management of this rare complication.

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“…Abdominal complications include acute abdomen (26, 31), perforation of various abdominal viscera (e.g. colon (17, 21, 28), stomach (2,19,21), and urinary bladder (21)), peritoneal pseudocyst formation (6), intestinal volvulus (3), inguinal hernia (13) and migration of the distal tip of peritoneal catheter towards different variety of sites (5,10,14,16,22). Less frequently, the peritoneal catheter may also extrude throughout vagina (24), anus (1) or mouth (4,9,11,12,15,20,23,29), scrotal skin (25), and gastrostomy wound (7).…”

Section: Discussionmentioning

confidence: 99%

Transoral protrusion of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting – case report and review of the literature

Yılmaz

Egemen²,

Tönge³

et al. 2011

Turkish Neurosurgery

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Various complications following ventriculoperitoneal (VP) shunting have been reported but transoral protrusion of peritoneal catheter is a very rare situation. This case is the first adult with a transoral VP shunt protrusion in available literature. A 47-year-old female with pseudotumor cerebri admitted after the peritoneal catheter protruded from her mouth during retching. Endoscopic examination showed a catheter inside stomach entered through the anterior surface. The patient was treated via VP shunt extraction and remained stable. Extrusion of peritoneal catheter through vagina, anus, scrotal skin or gastrostomy wound is well-known. However transoral protrusion should be considered as a very rare complication of VP shunting, especially in an adult. We present a rare case of transoral protrusion of a peritoneal catheter 10 years after ventriculo-peritoneal shunting procedure and review of the literature through this article.KeywoRds: Gastric perforation, Peritoneal catheter, Transoral protrusion, Ventriculoperitoneal shunt ÖZ Ventriküloperitoneal (VP) şant takılmasından sonra çeşitli komplikasyonlar bildirilmiştir ama peritoneal kateterin transoral protrüzyonu çok nadir bir durumdur. Bu vaka mevcut literatürde transoral VP şant protrüzyonu olan ilk yetişkindir. Psödotümör serebrili 47 yaşında bir kadın öğürme sırasında peritoneal kateter ağzından çıkınca hastaneye yatırıldı. Endoskopik inceleme midenin ön yüzeyinden girmiş olarak bir kateter gösterdi. Hasta VP şant ekstraksiyonuyla tedavi edildi ve stabil durumda kaldı. Peritoneal kateterin vajen, anüs, skrotum cildi veya gastrostomi yarasından ekstrüzyonu iyi bilinmektedir. Ancak transoral protrüzyon özellikle bir yetişkinde VP şant takılmasının çok nadir bir komplikasyonu olarak düşünülmelidir. Ventriküloperitoneal şant takılması işleminden 10 yıl sonra peritoneal kateterin transoral protrüzyonu şeklinde çok nadir bir vakayı ve literatürün gözden geçirilmesini bu makaleyle sunuyoruz.

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Gastric Perforation due to Ventriculo-Peritoneal Shunt

Cited by 44 publications

References 6 publications

CSF liver pseudocyst as a complication of a ventriculoperitoneal shunt

CSF liver pseudocyst as a complication of a ventriculoperitoneal shunt

Erosive Bladder Perforation as a Complication of Ventriculoperitoneal Shunt with Extrusion from the Urethral Meatus: Case Report and Literature Review

Transoral protrusion of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting – case report and review of the literature

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