Vaginal Extrusion of a Ventriculoperitoneal Shunt: A Case Report and Review of Literature

Lotfinia, Iraj; Tubbs, Shane; Mahdkhah, Ata

doi:10.1016/j.jpag.2016.09.009

Cited by 10 publications

(17 citation statements)

References 16 publications

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“…Common VP shunt complications included infections, obstruction and overdrainage [5]. In addition, complications occurred more frequently in children than in adults [6]. Abdominal complications occur in ~15–25% of VP shunts in pediatric patients [4], such as peritonitis, hernia, abscess, perforated colon, perforated bladder, perforated intestines and abdominal pseudocyst [4, 7, 8].…”

Section: Discussionmentioning

confidence: 99%

“…However, in present case, the reason of this complication was different from liver abscess and liver pseudocyst, it was due to operation failure, over-long catheter inserting into sub-capsular cavity of liver rather than liver parenchyma; therefore, liver injury was not obvious. Furthermore, the use of hard-tipped and sharp peritoneal catheters increased the risk of this complication [6]. Abdominal ultrasonography was an efficiency method to help diagnose.…”

Section: Discussionmentioning

confidence: 99%

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Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Zhang

Liu

Wang

et al. 2017

Journal of Surgical Case Reports

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The most common procedure to deal with hydrocephalus is ventriculoperitoneal (VP) shunt. The purpose of the shunt is to drain cerebrospinal fluid from cerebral ventricles to abdominal cavity. Many complications of VP shunts have been reported such as infection, obstruction, overdrainage. Abdominal complications occur in ~15–25% of VP shunts in pediatric patients, such as peritonitis, hernia, abscess, perforated colon, perforated bladder and abdominal pseudocyst. However, sub-capsular effusion of liver is a rare complication of VP shunt. In this case report, We described an unusual case of VP shunt complication in a 2-year-old child who presented with intermittent fever and abdominal pain.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Zhang

Liu

Wang

et al. 2017

Journal of Surgical Case Reports

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“…9-12 Extrusion of the distal VPS catheter through the vaginal orifice has also been reported but less frequent, and twenty such cases have been reported to date. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] A systematic literature review was performed for 19 such cases to highlight demographics, clinical characteristics, surgical interventions executed, complications, and the outcome. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

mentioning

confidence: 99%

“…[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] A systematic literature review was performed for 19 such cases to highlight demographics, clinical characteristics, surgical interventions executed, complications, and the outcome. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

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confidence: 99%

Management of trans-vaginal extrusion of the distal ventriculoperitoneal shunt catheter: a systematic literature review from 1973 to 2021

Ghritlaharey

2021

Int J Res Med Sci

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Trans-vaginal extrusion of the distal ventriculoperitoneal shunt (VPS) catheter is a rare complication of VPS insertion done for the treatment of hydrocephalus. The primary purpose was to review the demographics. The secondary objectives were to review the clinical presentation, operative intervention executed, and outcome of the cases published on trans-vaginal extrusion of the distal VPS catheter. The literature and case reports were retrieved from 1973 to September 30, 2021. This literature review included (n=19) cases of the above-mentioned VPS complication. The mean age of 15 children at the time of diagnosis of the complication was 18.13 months and ranged from 2 to 72 months. For the entire case, the interval from the initial VPS insertion/VPS revision to the clinical diagnosis of complication ranged from 1 to 36 months, with a mean of 8.16 months. In three-fourth of the cases, it was detected within 6-months of the VPS implantation. Extrusion of the distal VPS catheter through the vagina was the chief complaint. Surgical procedures were performed in the following order of frequency (A) removal of the entire VPS catheter (n=14), and (B) removal of the distal/peritoneal VPS catheter (n=3). During the postoperative period, one of the children died. Extrusion of the distal VPS catheter through the vaginal orifice is a rare complication of VPS insertion. It occurred across all the age groups but was more common during early childhood. Three-fourth of them were treated by removal of the entire VPS catheter. For VPS revision, delayed re-VPS insertion was the preferred option.

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“…Spontaneous externalization of VPSs is rare. Reports exist of spontaneous or provoked migration of VPS through the umbilicus, mouth, vagina, ureter and penis, to the colon, the scrotum, the anus and extrusion through the spinal area [1][2][3][4][5] .…”

mentioning

confidence: 99%

Spontaneous externalization of a ventriculoperitoneal shunt tip through the navel

Gadjradj

Willemsz

Spoor

2020

British Journal of Neurosurgery

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Vaginal Extrusion of a Ventriculoperitoneal Shunt: A Case Report and Review of Literature

Cited by 10 publications

References 16 publications

Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Sub-capsular effusion of liver as a rare complication of ventriculoperitoneal shunt in a child

Management of trans-vaginal extrusion of the distal ventriculoperitoneal shunt catheter: a systematic literature review from 1973 to 2021

Spontaneous externalization of a ventriculoperitoneal shunt tip through the navel

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