Retrograde migration of the abdominal catheter as a complication of ventriculoperitoneal shunts: the fishhook sign

Martínez‐Lage, Juan F.; Poza, Máximo; Izura, Virginia

doi:10.1007/bf00306199

“…In 1993, we reported three patients with symptoms of shunt malfunction that were found to have a retrograde migration of the peritoneal catheter to the subcutaneous tissues of the chest wall 8 . In all three cases, as in the one that we report now, the system contained a spring-reinforced Raimondi catheter.…”

Section: -10-05 Aceptado: 21-11-05mentioning

confidence: 99%

“…In all three cases, as in the one that we report now, the system contained a spring-reinforced Raimondi catheter. We propose that the mechanism to explain the upward tube displacement is due to the abrupt release of the anchoring point formed by the abdominal scar around the catheter that is suddenly stretched, in this way the tube exits the abdominal cavity being unable to return to it 8 . CSF pouring through the shunt, that continues functioning, further eases the tube upward movement.…”

Section: -10-05 Aceptado: 21-11-05mentioning

confidence: 99%

“…Mechanical complications, especially those related to shunt-parts disconnection and downward catheter migration have diminished with the growing use of shunts made up with soldered pieces. Although rarely, all components of the shunt systems (reservoir, valve and ventricular or distal catheters) may be displaced from their original position and migrate to diverse parts of the body [1][2][3][4][5][6][7][8][9][10][11][12][13][14] . The retrograde migration of peritoneal or venous catheters through the subcutaneous tract of the shunt tubing has been reported in several occasions [1][2][3][4][5][6][8][9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrograde migration of ventriculoperitoneal shunt to the neck. Case report

Felipe-Murcia

¹

,

Almagro

²

,

Martínez‐Lage

³

2006

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SummaryWe report a patient, given a ventriculoperitoneal shunt at the neonatal period, who presented with a painless subcutaneous mass on his neck. Plain radiographs of the cervical region showed that the swelling was made up by a migrated and coiled peritoneal catheter. We briefly discuss the proposed mechanism for this complication and suggest that this occurrence must be taken into account at the time of evaluating a patient with shunt malfunction.KEY WORDS: Retrograde migration of shunts. CSF shunt complications. Ventriculoperitoneal shunt. Hydrocephalus.Migración retrógrada del catéter peritoneal de una vál-vula de hidrocefalia al cuello. Descripción de un caso Resumen Describimos el caso de un adulto que había sido tratado de recién nacido mediante la colocación de una válvula ventriculoperitoneal que se presentó con una tumoración indolora en el cuello. La radiografía simple demostró que la masa estaba formada por el catéter peritoneal que había emigrado cranealmente y se había enrollado en el subcutáneo. Discutimos brevemente los posibles mecanismos para explicar esta complicación y sugerimos que esta posibilidad sea tenida en cuenta a la hora de valorar un paciente con malfunción de una derivación de LCR.PALABRAS CLAVE: Migración retrógrada de las válvu-las. Complicaciones de las derivaciones de LCR. Derivación ventriculoperitoneal. Hidrocefalia.

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“…In a recent work, Domínguez et al report the complete coiling of an Orbis Sigma valve within the scalp of a child and attribute this occurrence to the retained "memory" of the shunt material within its sterile package 3 . In 1993, we reported three patients with symptoms of shunt malfunction that were found to have a retrograde migration of the peritoneal catheter to the subcutaneous tissues of the chest wall 8 . In all three cases, as in the one that we report now, the system contained a spring-reinforced Raimondi catheter.…”

Section: -10-05 Aceptado: 21-11-05mentioning

confidence: 99%

Retrograde migration of ventriculoperitoneal shunt to the neck: Case report

Felipe-Murcia

¹

,

Almagro

²

,

Martínez‐Lage

³

2006

Neurocirugía

0

View full text Add to dashboard Cite

SummaryWe report a patient, given a ventriculoperitoneal shunt at the neonatal period, who presented with a painless subcutaneous mass on his neck. Plain radiographs of the cervical region showed that the swelling was made up by a migrated and coiled peritoneal catheter. We briefly discuss the proposed mechanism for this complication and suggest that this occurrence must be taken into account at the time of evaluating a patient with shunt malfunction.KEY WORDS: Retrograde migration of shunts. CSF shunt complications. Ventriculoperitoneal shunt. Hydrocephalus.Migración retrógrada del catéter peritoneal de una vál-vula de hidrocefalia al cuello. Descripción de un caso Resumen Describimos el caso de un adulto que había sido tratado de recién nacido mediante la colocación de una válvula ventriculoperitoneal que se presentó con una tumoración indolora en el cuello. La radiografía simple demostró que la masa estaba formada por el catéter peritoneal que había emigrado cranealmente y se había enrollado en el subcutáneo. Discutimos brevemente los posibles mecanismos para explicar esta complicación y sugerimos que esta posibilidad sea tenida en cuenta a la hora de valorar un paciente con malfunción de una derivación de LCR.PALABRAS CLAVE: Migración retrógrada de las válvu-las. Complicaciones de las derivaciones de LCR. Derivación ventriculoperitoneal. Hidrocefalia.

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“…[3,4,5,6,7] Ventriculo-peritoneal shunt migration to mouth, thorax, transdiaphragmatic, heart, pulmonary artery, breast, stomach, gallbladder, liver, umbilicus, colon, inguinal hernial sac, bladder, vagina, anus, and scrotum have been reported in the literature. [1,2,3,8,9] Here, we report a case of an infant with congenital hydrocephalus who was shunted 4 months back, presented with proximal and distal catheter migration and coiling in the subgaleal plane in the occipital region.…”

Section: Introductionmentioning

confidence: 98%