Extrusion of the Peritoneal Catheter of Ventriculoperitoneal Shunt Through the Rectum
DOI:
https://doi.org/10.36552/pjns.v26i2.675Abstract
A ventriculoperitoneal shunt is a common procedure for hydrocephalus. It is a life-saving procedure but is not risk-free. Some of the most common complications are shunt blockage and infection but they can also present with uncommon presentations. We report A child who presented with extrusion of a shunt catheter through the rectum. It was treated as an infected shunt. Externalization of the shunt was done through the abdominal site and the exposed shunt was removed through the rectum by gentle traction. Once CSF was clear a new shunt was placed on the opposite side.
Keywords: VP shunt, shunt infection, anal extrusion.
Key Message: Exposure to a shunt catheter through the rectum is an uncommon presentation. It should be treated as an infected shunt. Most of these cases do not cause peritonitis or meningitis. The exposed shunt catheter should be removed through the rectum by gentle traction.
Abbreviations: VP-Ventriculoperitoneal, CSF: Cerebrospinal fluid. ETV -Endoscopic Third Ventriculostomy.
References
R Kanojia, SK Sinha, J Rawat, A Wakhlu, S Kureel, R Tandon. Unusual ventriculoperitoneal shunt extrusion: experience with 5 cases and review of the literature. Pediatr Neurosurg. 2008;44(1):49–51. [PubMed] [Google Scholar]
Robert BS, Michael HL, Richard AR. Colonic perforation by ventriculoperitoneal shunt. Surg Neurol. 1986;25:173–7. [PubMed] [Google Scholar] [Ref list]
. Park CK, Wang KC, Seo JK, Cho BK. Transoral protrusion of a peritoneal catheter: A case report and literature review. Childs Nerv Syst. 2000;16:184–9. [PubMed] [Google Scholar]
. Adeloye A. Protrusion of ventriculoperitoneal shunt through the anus: Report of two cases. East Afr Med J. 1997;74:337–9. [PubMed] [Google Scholar]
. Nebi Y, Nejmi K, Cahide Y, Hüseyin Ç, Sevil AY. Anal protrusion of ventriculo-peritoneal shunt catheter: Report of two infants. J Pediatr Neurol. 2004;2:241–4. [Google Scholar] [Ref list]
. Jamjoom AB, Rawlinson JN, Kirkpatrick JN. Passage of tube per rectum: An unusual complication of a ventriculoperitoneal shunt. Br J Clin Pract. 1990;44:525–6. [PubMed] [Google Scholar] [Ref list]
. Sathyanarayana S, Wylen EL, Baskaya MK, Nanda A. Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: Case report and a review of 45 cases. Surg Neurol. 2000;54:388–96. [PubMed] [Google Scholar] [Ref list]
. Nasib CD, Thappa DR, Mohit A, Yogeshwar M, Goswamy HL. Silent bowel perforation and transanal prolapse of a ventriculoperitoneal shunt. Pediatr Surg Int. 2000;16:94–5. [PubMed] [Google Scholar] [Ref list]
. Ulrikke S, Wiig MD, Sverre M, Zahl MD, Egge A, Helseth E, Wester K (2017) Epidemiology of benign hydrocephalus in Norway - a population-based study. Pediatr Neurol 73:36–41
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