Document Detail

Transoral extrusion of the ventriculo-peritoneal shunt: A case report and review of literature.
MedLine Citation:
PMID:  22408670     Owner:  NLM     Status:  PubMed-not-MEDLINE    
There are several case reports of complications of ventriculo-peritoneal shunt. Extrusion of the peritoneal end of the shunt through mouth is extremely rare. There are few case reports. We are reporting one such case. A 1-year male child was admitted with the peritoneal end of ventriculo-peritoneal shunt coming out through mouth since 6 hours after an episode of vomiting. He was conscious and had no neurological deficits. The anterior fontanelle was depressed. There was no infection. The peritoneal end of the shunt was removed through the mouth. Shunt revision was performed. The patient was discharged 10 days after the revision without any complications. At 1-year follow-up the patient is doing well. Possible mechanisms of bowel perforation are discussed. Pulling the peritoneal end through mouth is probably the best way of management as small spontaneous gut perforation seals off spontaneously. It also decreases the possibility of infection, other morbidities, and hospital stay.
Moneet Agarwal; Ritu Adhana; Hemant Namdev; Yad R Yadav; Tarun Agrawal
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric neurosciences     Volume:  6     ISSN:  1998-3948     ISO Abbreviation:  J Pediatr Neurosci     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2012-03-12     Completed Date:  2012-10-02     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  101273794     Medline TA:  J Pediatr Neurosci     Country:  India    
Other Details:
Languages:  eng     Pagination:  149-51     Citation Subset:  -    
Department of Neurosurgery, NSCB Medical College, Madhya Pradesh, India.
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