Wandering Distal End of Ventriculo-Peritoneal Shunt: Our Experience with Five Cases and Review of Literature.
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Date
2012-09
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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
Keywords
Ventriculo-peritoneal shunt, Cerebrospinal fluid, Hydrocephalus, Distal end migration, Bowel perforation
Citation
Kundal V K, Gajdhar M, Sharma C, Agrawal D, Kundal R. Wandering Distal End of Ventriculo-Peritoneal Shunt: Our Experience with Five Cases and Review of Literature. Journal of Nepal Paediatric Society. 2012 Sept-Dec; 32(3): 266-269.