Summary
Three cases with unusual complications of shunting procedures are reported. These were migration of the peritoneal catheter into the mediastinum following an operation for a ventriculoperitoneal (VP) shunt, extrusion of the peritoneal catheter through a well-healed abdominal incision in an adult following a VP shunt operation, and migration of the subdural catheter into the brain substance causing increased intracranial pressure following a subduroperitoneal shunt operation. The possible mechanisms leading to the two migrations and the extrusion are discussed.
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Adeloye, A., Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus. Case report. J. Neurosurg.38 (1973), 758–760.
Cooper, J. R., Migration of ventriculoperitoneal shunt into the chest. J. Neurosurg.48 (1978), 146–147.
Davidson, R. I., Peritoneal bypass in the treatment of hydrocephalus. Historical reviews and abdominal complications. J. Neurol. Neurosurg. Psychiatry39 (1976), 640–646.
Desousa, A. L., Worth, R. M., Extrusion of peritoneal catheter through abdominal incision. Report of a rare complication of ventriculoperitoneal shunt. Neurosurgery5 (1979), 504–506.
Deway, R. C., Kosnik, E. J., Sayers, M. P., A simple test of shunt function. The Shuntgram. J. Neurosurg.44 (1976), 121–126.
Fukamachi, A., Wakao, T., Kawakami, M., Kohno, K., Shibasaki, T., Nojiri, K., Conray shuntgraphy of ventriculoperitoneal shunt. Yamanashi Kenritsu Chuo Byoin Nenpo3 (1976), 36–44 (in Japanese).
Garijo, J. A. A., Pecourt, J. C., Resurreccion, M., Migration of ventriculoperitoneal shunt into lateral ventricle of an adult. Surg. Neurol.11 (1979), 399–400.
Gray, H., Anatomy of the human body, 29th American ed. (Goss, C. M., ed.), pp. 390–395, Philadelphia: Lea and Febiger. 1973.
Grosfeld, J. L., Cooney, D. R., Campbell, R. L., Intra-abdominal complications following ventriculoperitoneal shunt procedures. Pediatrics54 (1974), 791–796.
MacGee, E. E., Shunt position within the brain stem. A preventable complication. Neurosurgery6 (1980), 99–100.
Mazza, C. A., Bricolo, A., Upward dislocation of peritoneal catheter into the ventricular cavity. A rare complication of ventriculoperitoneal shunt. Report of a case. Neuropaediatrie6 (1975), 313–316.
Mori, K., Yamashita, A., Handa, H., Missing tube of peritoneal shunt. Migration of the whole system into the ventricle. Surg. Neurol.4 (1975), 57–59.
Nishijima, M., Ohyama, H., Higuchi, H., Gastric perforation in ventriculoperitoneal shunt. A case report. No Shinkei Geka8 (1980), 679–683 (in Japanese).
Patel, C. D., Matloub, H., Vaginal perforation as a complication of ventriculoperitoneal shunt. Case report. J. Neurosurg.38 (1973), 761–762.
Pompili, A., Cianfriglia, F., Umbilical fistula as a complication of ventriculoperitoneal shunt. Surg. Neurol.12 (1979), 129–130.
Ramani, P. S., Extrusion of abdominal catheter of ventriculoperitoneal shunt into the scrotum. Case report. J. Neurosurg.40 (1973), 772–773.
Rao, C. C., Krishna, G., Haselby, K., Desousa, A. L., Campbell, R. L., Ventriculobronchial fistula complicating ventriculoperitoneal shunt. Anesthesiology47 (1977), 388–390.
Shulhof, L. A., Worth, R. M., Kalsbeck, J. E., Bowel perforation due to peritoneal shunt. A report of seven cases and a review of the literature. Surg. Neurol.3 (1975), 265–269.
Wada, H., Fukamachi, A., Yanai, Y., Kunimine, H., Wakao, T., Migration of peritoneal catheter into the mediastinum. A rare complication of ventriculoperitoneal shunt. Shoni No Noshinkei6 (1981), 207–212 (in Japanese).
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Fukamachi, A., Wada, H., Toyoda, O. et al. Migration or extrusion of shunt catheters. Acta neurochir 64, 159–166 (1982). https://doi.org/10.1007/BF01405628
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DOI: https://doi.org/10.1007/BF01405628