Retroperitoneal, Paraspinal Migration of Distal Ventriculoperitoneal Shunt Catheter: A Peculiar Complication of Cerebrospinal Fluid Shunt

Greene, Clarence S.; Valerie, Evans

doi:10.1159/000356361

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Only one report was found in the literature about the migration of a distal catheter to the retroperitoneal region, and there was not fistulation to the external environment, which has migrated to the paraspinal muscles. [ 6 ] Furthermore, only one case of catheter migration through a hernia was reported, which was a diaphragmatic one (Morgagni’s hernia) described in a Down’s syndrome patient. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

Rare complication of ventriculoperitoneal shunt: Ectopic distal catheter in a Grynfeltt hernia – case report

Rigueiral

Cobucci

Aguiar

et al. 2021

Surgical Neurology International

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Background: Ventriculoperitoneal shunts (VPSs) insertion is the most common used intervention in cases of hydrocephalus. The main postoperative complications are infections and catheter obstructions. Although the literature has well-documented cases describing migration of the distal catheter, this rare presentation can become more confusing when occurring in conjunction with some unusual preexistent morbidity in the patient, as a Grynfeltt hernia. Case Description: This study reports a rare case of a VPS postoperative migration, in which the distal catheter exits the abdominal cavity through a Grynfeltt hernia. This condition was not discovered until the catheter fistulated through the overlying skin. The Grynfeltt hernia is the most uncommon among the lumbar ones and it’s asymptomatic in the majority of the cases, being hardly diagnosed. Conclusion: The unusualness of the reported case deserves furthermore discussion to properly evaluate these underlying mechanisms of catheter migration.

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Section: Discussionmentioning

confidence: 99%

Rare complication of ventriculoperitoneal shunt: Ectopic distal catheter in a Grynfeltt hernia – case report

Rigueiral

Cobucci

Aguiar

et al. 2021

Surgical Neurology International

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“…11,21,24,26,30 OverAbbreviAtioNs ETV = endoscopic third ventriculostomy; VPS = ventriculoperitoneal shunt.…”

Section: Neurosurg Focus 41 (5):e7 2016mentioning

confidence: 99%

Late pediatric ventriculoperitoneal shunt failures: a Singapore tertiary institution's experience

Lee

Low

et al. 2016

FOC

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OBJECTIVE The introduction of ventriculoperitoneal shunts changed the way hydrocephalus was treated. Whereas much is known about the causes of shunt failure in the first few years, there is a paucity of data in the literature regarding the cause of late shunt failures. The authors conducted a study to find out the different causes of late shunt failures in their institution. METHODS A 10-year retrospective study of all the patients who were treated in the authors' hospital between 2006 and 2015 was conducted. Late shunt failures included those in patients who had to undergo shunt revision more than 5 years after their initial shunt insertion. The patient's notes and scans were reviewed to obtain the age and sex of the patient, the time it took for the shunt to fail, the reason for failure, and the patient's follow-up. RESULTS Forty-six patients in the authors' institution experienced 48 late shunt failures in the last 10 years. Their ages ranged from 7 to 26 years (12.23 ± 4.459 years [mean ± SD]). The time it took for the shunts to fail was between 6 and 24 years (mean 10.25 ± 3.77 years). Reasons for failure resulting in shunt revision include shunt fracture in 24 patients (50%), shunt blockage in 14 patients (29.2%), tract fibrosis in 6 patients (12.5%), shunt dislodgement in 2 patients (4.2%), and shunt erosion in 2 patients (4.2%). Postoperative follow-up for the patients ranged from 6 to 138 months (mean 45.15 ± 33.26 months). CONCLUSIONS Late shunt failure is caused by the effects of aging on the shunt, and the complications are different from early shunt failure. A large proportion are complications associated with shunt calcification. The authors advocate a long follow-up for pediatric patients with shunts in situ to monitor them for various causes of late shunt failure.

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Migration of the Distal Catheter of Ventriculoperitoneal Shunts in Pediatric Age Group: Case Series

et al. 2018

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Retroperitoneal, Paraspinal Migration of Distal Ventriculoperitoneal Shunt Catheter: A Peculiar Complication of Cerebrospinal Fluid Shunt

Cited by 3 publications

References 6 publications

Rare complication of ventriculoperitoneal shunt: Ectopic distal catheter in a Grynfeltt hernia – case report

Rare complication of ventriculoperitoneal shunt: Ectopic distal catheter in a Grynfeltt hernia – case report

Late pediatric ventriculoperitoneal shunt failures: a Singapore tertiary institution's experience

Migration of the Distal Catheter of Ventriculoperitoneal Shunts in Pediatric Age Group: Case Series

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