Rare Complication of Ventriculoperitoneal Shunt: Anal Extrusion
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 12
Abstract
Ventriculoperitoneal Shunt (VP shunt) surgery is one of the common neurosurgical procedure employed in management of hydrocephalus. Most common complications of VP shunt surgery include shunt malfunction secondary to partial or complete blockage, Shunt infections, slit ventricle syndrome due to over drainage of cerebrospinal fluid and multiloculated hydrocephalus. On distal end abdominal complications like peritoneal pseudocysts, lost distal catheters, bowel perforations and hernias may be seen. Anal extrusion of peritoneal end of VP shunt by perforating intestines requiring revision of shunt is a very rare complication of VP shunt surgery. We report here a case of 7 months old male child who underwent VP shunt surgery at the age of 1 month for congenital hydrocephalus. The baby underwent a revision surgery for blockage of VP shunt 5 months after the first surgery. Now the baby presented with extrusion of peritoneal end of VP shunt through anus. There was evidence of CSF draining through the extruded end of VP shunt. A revision surgery on other side was done. After surgery the baby gradually improved and was eventually discharged after 3 weeks.
Authors and Affiliations
Dr Pravin Bhingare
Keywords
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