Document Detail


Peroral extrusion of ventriculoperitoneal shunt: case report and review of literature.
MedLine Citation:
PMID:  19587479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A rare complication of ventriculoperitoneal shunting (VPS) is bowel perforation by the peritoneal catheter of the shunt tube. Rarer still is the peroral extrusion of such a perforated shunt. A two-month-old infant with history of neonatal meningitis, presented with a large head, bulging fontanelle, and hydrocephalus. A VPS was inserted. The child was doing well till the age of eight months, when following vomiting, the peritoneal end of the shunt came out through the mouth. The shunt was removed and antibiotics started. At follow up after 12 months, the child was doing well. Peroral extrusion of the shunt tube needs prompt treatment, including removal of the extruded shunt tube, and attention to bowel perforation and possible cerebrospinal fluid infection. The reported patient is younger than the five cases reported earlier. Strategies in the management of this complication are reviewed. An individualized approach is essential for the successful treatment of this rare complication.
Authors:
K Sridhar; Vikram Karmarkar
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurology India     Volume:  57     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-07-09     Completed Date:  2009-10-29     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  334-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, National Neurosciences Centre, Kolkata, India. neuro_sridhar@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Infant
Intestinal Perforation / etiology*,  surgery
Meningitis / surgery
Ventriculoperitoneal Shunt / adverse effects*
X-Ray Microtomography / methods

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