Migration or extrusion of shunt catheters

Fukamachi, Akira; Wada, Hirochiyo; Toyoda, O; Wakao, Tetsuo; Kawafuchi, Jun‐ichi

doi:10.1007/bf01405628

Cited by 24 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alonso-Vanegas et al 4 reported that the patient's position, postprandial gastric distension, and diaphragm movements are other risk factors for chronic irritation in the region of contact with the stomach, which could lead to perforation. 4,5 In the case herein reported, intraoperatively, it was possible to visualize areas of chronic inflammation and the respective fibrosis around the catheter, as was found in most studies [2][3][4][5][6][7][8] in which there was perforation of abdominal organs; however, no perforation of the gastric wall was evidenced through the VP shunt catheter. Moreover, in other studies, [5][6][7] CSF culture revealed infection by Staphylococcus capitis and Enterobacter cloacae, which was linked to distal catheter migration in the stomach.…”

Section: Discussionmentioning

confidence: 57%

“…The procedures of choice include infection control with antibiotics, section of the point of obstruction, external proximal drainage, repositioning of the catheter, and a new procedure to remove the current catheter and insert another VP shunt on the contralateral side. 3,[8][9][10][11] Therefore, the treatment chosen for our patient was the removal of the obstructed part of the catheter, without the need to insert a new VP shunt. However, the access route for catheter removal was not through exploratory laparotomy, as usual, but through videolaparoscopy, given that no signs of peritoneal irritation were found.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Extrinsic Compression of the Gastric Wall by a Ventriculoperitoneal Shunt Catheter: Case Report and Literature Review

Alencar

Trindade

Sarquis

et al. 2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

View full text Add to dashboard Cite

Introduction Ventriculoperitoneal (VP) shunt is commonly used in the treatment of hydrocephalus and may present complications in up to 30% of patients. The present report addresses an uncommon complication in the abdominal cavity, in which the catheter caused extrinsic compression of the gastric wall. Case report A 30-year-old man presented a decreased level of consciousness, associated with severe headache and vomiting. He had a history of congenital neurotoxoplasmosis and VP shunt insertion at 7 years of age. Imaging exams demonstrated the formation of an encapsulated retrogastric pseudocyst and extrinsic compression of the gastric wall by a VP shunt catheter. Through videolaparoscopy, decompression of the gastric wall and removal of the pseudocyst were performed, with the reestablishment of the drainage of cerebrospinal fluid. An analysis of the distal fragment of the removed catheter revealed obstruction by fibrotic material. The patient was discharged with a reestablished baseline after four days of hospitalization. Comments The literature shows that ∼ 47% of the complications presented by patients are related to the distal end of the catheter, and 8.2% of these come from migration to the abdominal cavity. However, there is an extreme paucity of studies that demonstrate extrinsic compression of the gastric wall by a VP shunt catheter. Therefore, we suggest that further studies on complications involving the VP shunt be performed to improve diagnostic and therapeutic results, in addition to complementing the literature on this complication.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Extrinsic Compression of the Gastric Wall by a Ventriculoperitoneal Shunt Catheter: Case Report and Literature Review

Alencar

Trindade

Sarquis

et al. 2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

View full text Add to dashboard Cite

show abstract

“…2,5,[7][8][9][10][11][12][13] It has been emphasised that the development of scrotal swelling or hydrocoele in a child with a VP shunt should raise the possibility of a shunt complication. 14 An explanation of the migration of the peritoneal catheter is difficult but migration of the peritoneal catheter into the scrotum tends to occur in younger children because of the higher incidence of an unobliterated processus vaginalis and smaller volume of the peritoneal cavity in these patients.…”

Section: Discussionmentioning

confidence: 99%

Migration of the peritoneal catheter of a ventriculoperitoneal shunt into the scrotum

Gupta¹,

Digra²,

Sharma³

et al. 2012

S Afr J CH

View full text Add to dashboard Cite

Ventriculoperitoneal (VP) shunt is a well-established modality in the management of hydrocephalus. However, it can be associated with numerous complications and disastrous consequences. 1-4 The reported incidence of intra-abdominal complications in infants and children following VP shunt procedures in the literature is about 24% 5,6 and most of these patients present with abdominal signs and/ or intracranial sepsis. 6 In this article we report such a case and review the relevant literature.Ventricular shunt is a well-established modality in the management of hydrocephalus. However, it can be associated with numerous complications and disastrous consequences. The reported incidence of intra-abdominal complications in infants and children after ventriculoperitoneal (VP) shunt procedures is about 24% and most of these patients present with abdominal signs and/or intracranial sepsis. In this article we report on a 2-year-old boy who presented with swelling in the right inguino-scrotal region. Imaging showed migration of the peritoneal catheter into the right scrotum.S Afr J CH 2012;6(3):93-94.

show abstract

“…reported two cases of spontaneous dissection of a Raimondi catheter among 23 cases, and several similar cases were reported. [1121365] Oktem et al . [10] have reported migration of the peritoneal catheter into the scrotum through the unobliterated processus vaginalis; however, the tube was not dissected in all of those cases.…”

Section: Discussionmentioning

confidence: 99%

Unusual complication of ventriculoperitoneal shunt surgery

et al. 2009

View full text Add to dashboard Cite

Ventricular shunts are commonly employed in the management of hydrocephalus, and numerous complications such as dissection or migration have been reported in the literature besides shunt malfunction. We present a case of the migration of the peritoneal catheter into the scrotum who attended at our institute. He was managed successfully, but subsequently developed intraabdominal cystic swelling for which he was reoperated.

show abstract

Migration or extrusion of shunt catheters

Cited by 24 publications

References 10 publications

Extrinsic Compression of the Gastric Wall by a Ventriculoperitoneal Shunt Catheter: Case Report and Literature Review

Extrinsic Compression of the Gastric Wall by a Ventriculoperitoneal Shunt Catheter: Case Report and Literature Review

Migration of the peritoneal catheter of a ventriculoperitoneal shunt into the scrotum

Unusual complication of ventriculoperitoneal shunt surgery

Contact Info

Product

Resources

About