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
Related Articles
- EP ID EP210127
- DOI -
- Views 78
- Downloads 0
A Prospective Study of Fixation of Lateral end Clavicle with Tension band Wiring
Background: Displaced lateral end clavicle fractures have high incidence of delayed union or non-union, hence several authors suggested operative management for these fracture. Adequate reduction and minimal soft tissue...
Endodontic Management of Mesotaurodontic Maxillary First Molar – A Case Report
Taurodontism can be defined as a change in tooth shape caused by the failure of the Hertwig’s epithelial sheath diaphragm to invaginate at the proper horizontal level. An enlarged pulp chamber, apical displacement of the...
Hyperreflexic Guillain - Barre Syndrome: A Rare Case Report and a Brief Review of Literature
Guillain–Barre syndrome (GBS) is a common cause of acute peripheral neuropathy and is characterized by hyporeflexia or areflexia. Hyperreflexia has been rarely reported with acute motor axonal neuropathy. A 65 year-old-f...
Pulsatile Neck: A Rare Case Report
Common carotid artery aneurysms are rare but lethal whenever present. Early diagnosis and adequate treatment is required in order to prevent rupture or neurologic sequelae. We represent a rare case of asymptomatic pulsat...
Validation of Thorax Trauma Severity Score Using Early Emergency Department Computed Tomography (MDCT 64 Slice/ Multirow Detector CT)
Background: Rapid and accurate assessment of the thoracic trauma is important to direct life-saving and definitive management. In traumatic lung injury patients, till date thorax trauma severity score (TTSS) was calculat...