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Case Reports
. 2018 Apr-Jun;13(2):446-448.
doi: 10.4103/1793-5482.228559.

Silent Migration of Ventriculoperitoneal Shunt per Anus in a Child: Management and Review of Literature

Affiliations
Case Reports

Silent Migration of Ventriculoperitoneal Shunt per Anus in a Child: Management and Review of Literature

Sachin Parshuram Guthe et al. Asian J Neurosurg. 2018 Apr-Jun.

Abstract

The aim of this paper is to report a case of ventriculoperitoneal (VP) shunt tube coming out through the anus in a 6-year-old boy, who had undergone shunt revision surgery for the malfunctioning of the peritoneal end 6 months back. Among the complications of VP shunt surgery, such unusual migration of peritoneal end of the VP shunt is very rare. The possible factors responsible for this complication, in our case, were abdominal adhesions and thin bowel wall in the children. Although this complication has been previously reported, it remains an exceedingly rare case. Risk factors and possible mechanisms of migration are discussed.

Keywords: Anus; complications; migration; ventriculoperitoneal shunt.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Shunt tube coming out per anus
Figure 2
Figure 2
X-ray abdomen erect showing distal end of ventriculoperitoneal shunt tube going well beyond pubic symphysis

References

    1. Grewal SS, Jhawar SS, Gupta B, Bedi NK. Silent bowel perforation with per anal protrusion of ventriculoperitoneal shunt. CHRISMED Journal of Health and Research. 2014;1:113–5.
    1. Ghritlaharey RK, Budhwani KS, Shrivastava DK, Gupta G, Kushwaha AS, Chanchlani R, et al. Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: Report of ten cases in children. Pediatr Surg Int. 2007;23:575–80. - PubMed
    1. Yilmaz N, Krymaz N, Yilmaz C, Casken H, Yuca SA. Anal protrusion of ventriculoperitoneal shunt catheter: Reports of two infants. J Pediatr Neurol. 2004;2:241–4.
    1. Snow RB, Lavyne MH, Fraser RA. Colonic perforation by ventriculoperitoneal shunts. Surg Neurol. 1986;25:173–7. - PubMed
    1. Ibrahim AW. E. coli meningitis as an indicator of intestinal perforation by V-P shunt tube. Neurosurg Rev. 1998;21:194–7. - PubMed

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