Abstract
The authors report two cases with a rare complication of ventriculoperitoneal shunt. The peritoneal catheters migrated upward to the scalp and to the clavicular area. In one case, the whole length of the peritoneal catheter was pulled out from the peritoneal cavity and was coiled subcutaneously. Both of the patients had the habit of head rotation and one of the patients had a history of subcutaneous fluid collection at the site of coiling. At surgery, whitish inflammatory granulation tissues were noted around the catheter in both cases, which might act as an achoring point for the “windlass effect”.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Abou el Nasr HT (1988) Modified method for prophylaxis against unishunt system complications with presentation of total intraventricular migration of unisystem ventriculo-peritoneal shunt. Child's Nerv Syst 4:116–118
Adeloye A (1973) Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus. Case report. J Neurosurg 38:758–760
Ames RH (1967) Ventriculo-peritoneal shunts in the management of hydrocephalus. J Neurosurg 27:525–529
Aranda G, Diaz V (1991) Ascending migration of distal catheter of ventriculoperitoneal derivation (in Spanish). Rev Med Panama 16:46–49
Azzam NI (1988) An attempt to prevent the problem of shunt-tube migration. Child's Nerv Syst 4:50–51
Bockhorn J (1975) Kommentar zum “Case Report” von Dr. Mazza. Neuropädiatrie 6:317–318
Drigo P, Casara GL, Laverda AM, Degan E, Longatti PL, Zampieri P, Carteri A (1983) A rare complication of ventriculo-peritoneal shunt: intracranial migration of the derivative system (in Italian). Pediatr Med Chir 5:623–624
Ferraresi S, Griffini C, Torcello L, Cassinari V (1991) Duplicated peritoneal catheter as a cause of malfunction. Case report. Neurosurg Rev 14:149–150
Garijo JA, Pecourt JC, Resurrección M de la (1979) Migration of ventriculo-peritoneal shunt into lateral ventricle of an adult. Surg Neurol 11:399–400
Ignelzi RJ, Kirsch WM (1975) Followup analysis of ventriculo-peritoneal and ventriculo-atrial shunts for hydrocephalus. J Neurosurg 42:679–682
Jackson IR, Snodgrass SR (1955) Peritoneal shunts in the treatment of hydrocephalus and increased intracranial pressure. A 4-year survey of 62 patients. J Neurosurg 12:216–222
Keucher TR, Mealey J Jr (1979) Long-term results after ventriculoatrial and ventriculo-peritoneal shunting for infantile hydrocephalus. J Neurosurg 50:179–186
Kumon Y, Sakaki S, Kohno K, Shishido T, Gohma T, Matsuoka K, Yoshimoto H (1982) Migration of subduro-peritoneal shunt into the subdural space of an infant (in Japanese). No Shinkei Geka 10:443–446
Mazza CA, Bricolo A (1975) Upward dislocation of peritoneal catheter into the ventricular cavity. A rare complication of the ventriculo-peritoneal shunt. Report of a case. Neuropädiatrie 6:313–316
McLaurin RL (1989) Ventricular shunts: complications and results. In: McLaurin RL, Schut L, Venes JL, Epstein F (eds) Pediatric neurosurgery. Saunders, Philadelphia, pp 219–229
Mori K, Yamashita J, Handa H (1975) “Missing tube” of peritoneal shunt: migration of the whole system into the ventricle. Surg Neurol 4: 57–59
Murtagh F, Lehman R (1967) Peritoneal shunts in the managment of hydrocephalus. JAMA 202:1010–1014
Pang D, Wilberger JE (1980) Upward migration of peritoneal tubing. Surg Neurol 14:363–364
Patel CO, Matloub H (1973) Vaginal perforation as a complication of ventriculoperitoneal shunt. Case report. J Neurosurg 38:761–762
Ramani PS (1974) Extrusion of abdominal catheter of ventriculoperitoneal shunt into the scrotum. J Neurosurg 40:772–773
Scott M, Wycis HT, Murtagh F, Reyes V (1955) Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalus infants. J Neurosurg 12:165–175
Thauvoy C, Kallel S, Marion B, Scholtes JL, Stroobandt G (1989) Unusual complication of peritoneal drainage: migration of a shunt in the subdural space. Child's Nerv Syst 5:47–49
Todorow S, Happe M, Petersen D (1982) Migration of a subdural-peritoneal shunt into the interhemispheric space. Case report. Neurosurg Rev 5:25–26
Villarejo F, Alvarez-Sastre C, Gimenez D, Gonzalez C (1979) Migration of an entire one-piece shunt into the ventricle. Neurochirurgia 22:196–198
Wilson CB, Berten V (1966) Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of two cases. Am Surg 32:601–603
Young HA, Robb PJ, Hardy DG (1983) Complete migration of ventriculoperitoneal shunt into the ventricle: report of two cases. Neurosurgery 12:469–471
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kim, KJ., Wang, KC. & Cho, BK. Proximal migration and subcutaneous coiling of a peritoneal catheter: report of two cases. Child's Nerv Syst 11, 428–431 (1995). https://doi.org/10.1007/BF00717412
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00717412