Article citationsMore >>

Adeloye A. Protrusion of ventriculo peritoneal shunt through the anus: report of two cases. East Afr Med J. 1997 May; 74(5): 337-9.

has been cited by the following article:

Article

Series of 3 Cases of Silent Colonic Perforation by Ventriculoperitonal Shunt Catheter Prolapsing through Anus, an Infrequent Complication: A Case Report

1Department of Neurosurgery, Khoula Hospital, Muscat, Oman, PO box 90, Postal Code 116


American Journal of Medical Case Reports. 2017, Vol. 5 No. 3, 59-61
DOI: 10.12691/ajmcr-5-3-4
Copyright © 2017 Science and Education Publishing

Cite this paper:
Qassim Al Hinai, Neeraj Salhotra, Munthir Al Zabin, Azmat Ali, Salim Al Abri, Mohammad Hashim, S.D Lad. Series of 3 Cases of Silent Colonic Perforation by Ventriculoperitonal Shunt Catheter Prolapsing through Anus, an Infrequent Complication: A Case Report. American Journal of Medical Case Reports. 2017; 5(3):59-61. doi: 10.12691/ajmcr-5-3-4.

Correspondence to: Neeraj  Salhotra, Department of Neurosurgery, Khoula Hospital, Muscat, Oman, PO box 90, Postal Code 116. Email: neersal@hotmail.com

Abstract

The ventriculoperitoneal shunt has been the preferred therapy for chronic hydrocephalus for a long time. Complications of this therapy include pseudocyst formation, perforation of the gastrointestinal tract, penetration into solid organs/abdominal wall, protrusion outside the body, disconnection and infection. Bowel perforation is rare complication of VP shunt placement [8]. Silent colonic perforation by ventriculoperitoneal shunt catheter and later patient presenting with catheter prolapsing from anal opening is seen less frequently [1]. We had 3 children 1-3 years old a case of hydrocephalus with ventriculoperitoneal shunt presenting in above scenario. Patients were completely asymptomatic with no features of toxemia indicating a chronic process [2]. Treatment involves pediatric surgical help in removing the shunt catheter, waiting for a sterile cerebrospinal fluid sample via repeated cultures and replacement of shunt catheter in a different quadrant in abdominal cavity.

Keywords