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Case Reports
. 2022 Dec:101:107772.
doi: 10.1016/j.ijscr.2022.107772. Epub 2022 Nov 8.

Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report

Ram Chandra Deo  1 , Abhijit Acharya  2 , Satya Bhusan Senapati  1 , Souvagya Panigrahi  1 , Ashok Kumar Mohapatra  1
Affiliations
Case Reports

Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report

Ram Chandra Deo et al. Int J Surg Case Rep. 2022 Dec.

Abstract

Introduction and importance: A ventriculoperitoneal (VP) shunt is a cerebral shunt used to treat hydrocephalus. This is used to remove the excessive accumulation of cerebrospinal fluid inside the ventricles.

Case presentation: We are reporting a rare case of complete intracranial migration of a ventriculoperitoneal shunt, a potentially fatal complication, presenting to us with hydrocephalous. The baby was taken up for surgery with endoscopic assisted shunt removal and shunt revision.

Clinical discussion: Ventriculoperitoneal shunt is one of the common procedures used in infants and children, however, it is used in all age groups for hydrocephalous. The shunt is associated with multiple large number of complications like obstruction, infection, migration, and separation from the connected site. Etc. Shunt migration is a less common complication of which cranial migration is still less common.

Conclusion: Optimum creation of the sub-galeal space for the shunt chamber, a smaller burr hole, a smaller dural opening, and proper anchorage of the chamber to the pericranium, are some of the measures that may be useful in obviating this complication.

Keywords: Hydrocephalous; Rare surgical case; Shunt complications; Shunt migration.

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Conflict of interest statement

Declaration of competing interest None among all the authors.

Figures

Fig. 1
Fig. 1
X-ray skull showing completely migrated and coiled intracranial shunt.
Fig. 2
Fig. 2
Non-contrast Ct brain showing complete migration of ventriculo-peritoneal shunt with gross hydrocephalous with thin rim mantle of cortex.
See this image and copyright information in PMC

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