Migration of the Abdominal Catheter of a Ventriculoperitoneal Shunt into the Scrotum —Case Report—

Özveren, Mehmet Faik; Kazez, Ahmet; Çetin, Hasan; Ziyal, Ibrahim M.

doi:10.2176/nmc.39.313

Cited by 46 publications

(34 citation statements)

References 17 publications

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“…[1][2][3][4][5][7][8][9][10][11][12][13][14][17][18][19][20] Scrotal migration occurred during infancy or early life (between 4 days to 5 years of life, mean 17.1 months). Fifteen of the 26 patients were younger than 12 months old and 21 cases were up to 18 months old at the time of the migration ( Fig.…”

Section: Discussionmentioning

confidence: 99%

Scrotal Migration of the Peritoneal Catheter of a Ventriculoperitoneal Shunt in a 5-Year-Old Male -Case Report-

Kita

Hayashi

Kinoshita

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 5-year-old male presented with scrotal migration of the catheter from a ventriculoperitoneal shunt manifesting as left scrotal swelling 4 months after implantation. Surgical obliteration of the patent peritoneal processus vaginalis that forms a corridor from the peritoneum to the scrotum was performed to avoid shunt malfunction. Review of the 26 reported cases including the present case revealed that most patients were up to 18 months old. Our patient was the oldest. Migration tended to occur within 6 months after implantation (mean 3.8 months, median 1.0 month). Involvement of the right side of the scrotum was prevalent (23 of 26 cases). Patent processus vaginalis and small peritoneal cavity probably contribute to scrotal catheter migration.

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Section: Discussionmentioning

confidence: 99%

Scrotal Migration of the Peritoneal Catheter of a Ventriculoperitoneal Shunt in a 5-Year-Old Male -Case Report-

Kita

Hayashi

Kinoshita

et al. 2010

Neurol. Med. Chir.(Tokyo)

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“…Complications from the traditional V-P shunt placement is not uncommon and have been reported to occur in 5-37% of the cases 1,6,7,24,31,32) . Laparoscopy-assisted techniques have greatly reduced these potential morbidities through direct visualization of the peritoneal cavity, as well as the risk of incisional hernia after laparotomy 4,5,9,[16][17][18][19]26,27,30) .…”

Section: Introductionmentioning

confidence: 99%

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Park

et al. 2010

J Korean Neurosurg Soc

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Objective : Traditionally, peritoneal catheter is inserted with midline laparotomy incision in ventriculoperitoneal (V-P) shunt procedures. Complications of V-P shunt is not uncommon and have been reported to occur in 5-37% of cases. The aim of this study is to compare the clinical outcomes and the operation time between laparotomy and laparoscopic groups. Methods : A total of 155 V-P shunt procedures were performed to treat hydrocephalic patients of various origins in our institute between June 2006 to January 2010; 95 of which were laparoscopically guided and 65 were not. We reviewed the operation time, surgery-related complications, and intraoperative and postoperative problems. Results : In the laparoscopy group, the mean duration of the procedure (52 minutes) was significantly shorter (p < 0.001) than the laparotomy group (109 minutes). There were two cases of malfunctions and one incidence of diaphragm injury in the laparotomy group. In contrast, there were neither malfunction nor any internal organ injuries in the laparoscopy group (p = 0.034). There were total of two cases of infections from both groups (p = 0.7). Conclusion : Laparoscopically guided insertions of distal shunt catheter is considered a fast and safe method in contrast to the laparotomy technique. This method allows the exact localization of the peritoneal catheter and a confirmation of its patency.

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“…1,3,[7][8][9] Migration to the heart or the pulmonary artery is quite unusual, with only three such cases reported. [4][5][6] We have experienced a fourth such case and identified the entry point of the catheter into the external jugular vein at surgery.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Shunt Migration into the Pulmonary Artery. Case Report.

Kubo

Takimoto

Takakura

et al. 2002

Neurol. Med. Chir.(Tokyo)

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A 48-year-old man underwent ventriculoperitoneal shunting for hydrocephalus secondary to subarachnoid hemorrhage due to left vertebral artery dissection, which had been successfully treated by trapping. The peritoneal catheter was correctly positioned via a right upper abdominal incision, and symptoms related to the hydrocephalus disappeared. One month later, the patient began to complain of pain on the right side of the neck. Chest radiography revealed that the peritoneal end of the catheter had migrated into the right pulmonary artery. The catheter route was explored through a small neck incision, and was found to enter the external jugular vein. The catheter was extracted and repositioned into the peritoneum. This type of shunt migration is quite unusual, but could be lethal by causing pulmonary infarction or arrhythmia. The catheter had probably entered the external jugular vein through a perforation caused by the shunt guide during the ventriculoperitoneal shunt operation. Follow-up radiography should be scheduled to detect such a complication.

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Migration of the Abdominal Catheter of a Ventriculoperitoneal Shunt into the Scrotum —Case Report—

Cited by 46 publications

References 17 publications

Scrotal Migration of the Peritoneal Catheter of a Ventriculoperitoneal Shunt in a 5-Year-Old Male -Case Report-

Scrotal Migration of the Peritoneal Catheter of a Ventriculoperitoneal Shunt in a 5-Year-Old Male -Case Report-

Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure

Peritoneal Shunt Migration into the Pulmonary Artery. Case Report.

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