Wandering Distal End of Ventriculo-Peritoneal Shunt: Our Experience with Five Cases and Review of Literature

  • 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

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.

DOI: http://dx.doi.org/10.3126/jnps.v32i3.6935

J. Nepal Paediatr. SocVol.32(3) 2012 266-269

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Abstract
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Published
2013-02-24
How to Cite
Kundal, V., Gajdhar, M., Sharma, C., Agrawal, D., & Kundal, R. (2013). Wandering Distal End of Ventriculo-Peritoneal Shunt: Our Experience with Five Cases and Review of Literature. Journal of Nepal Paediatric Society, 32(3), 266-269. https://doi.org/10.3126/jnps.v32i3.6935
Section
Brief Reports/Case Reports/Case Series