Publication: Wandering Distal End of Ventriculo-Peritoneal Shunt: Our Experience with Five Cases and Review of Literature
Date
2012
Article Type
Case Report
Journal Title
Journal ISSN
ISSN 1990-7974 eISSN 1990-7982
Volume Title
Pages
Pages: 266 - 269
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Ventriculo-peritoneal (VP) shunt is the most commonly performed procedure for the management of hydrocephalus. Although shunts have improved the morbidity and mortality associated with disordered Cerebrospinal fluid (CSF) mechanics over the past 30 years, they still are associated with many potentially avoidable complications in clinical practice. However, extrusion of VP shunt catheter is an unusual complication of VP shunt Surgery. We are presenting this unusual complication in five patients. The lower end of the shunt was seen extruding from anal opening in one patient, umbilicus in one, urethra in one, inguinal hernia sac in one and oral cavity in one patient. All of these patients were managed by shunt removal, intra venous antibiotics followed by shunt replacement on the other side except the patient with inguinal hernia sac.
Description
Vijay Kumar Kundal
Senior Resident, Department of Paediatric Surgery, S M S Medical college and associated SPMCHI, Jaipur
Mufique Gajdhar
Senior Resident, Department of Paediatric Surgery, S M S Medical college and associated SPMCHI, Jaipur
Chetan Sharma
Professor, Department of Paediatric Surgery, S M S Medical college and associated SPMCHI, Jaipur
Deepak Agrawal
Department of Paediatric Surgery, S M S Medical college and associated SPMCHI, Jaipur
Raksha Kundal
Senior Resident, Department of Anaesthesia, S M S Medical college and associated SPMCHI, Jaipur
Keywords
Ventriculo-peritoneal shunt, Cerebrospinal fluid, Hydrocephalus, Distal end migration, Bowel perforation
Identifier
https://doi.org/10.3126/jnps.v32i3.6935