Bowel perforation by ventriculoperitoneal shunt: report of three cases
DOI:
https://doi.org/10.18203/2349-2902.isj20252687Keywords:
Ventriculoperitoneal shunt, Bowel perforation, Cerebrospinal fluidAbstract
A ventriculoperitoneal (VP) shunt is a connection between the lateral ventricle and the peritoneal cavity. VP shunt surgery is the most commonly performed surgery in the management of hydrocephalus which is due to decreased absorption or increased production of cerebrospinal fluid (CSF). A VP shunt is a CSF diversion device using a tube with pressure-regulating valve that drains CSF from ventricles into the peritoneal cavity where CSF is absorbed and the excess intracranial pressure is relieved. Despite many recent advances in other fields of medicine, shunt related complications are very high. Shunt dysfunction is the most common complication encountered. Even though the incidence of bowel perforation is rare following VP shunt surgery, we observed three cases of spontaneous bowel perforation after the VP shunt surgery over a period of 25 years.
Metrics
References
Harischandra LS, Sharma A, Chatterjee S. Shunt migration in ventriculoperitoneal shunting: A comprehensive review of literature. Neurol India. 2019;67(1):85-99. DOI: https://doi.org/10.4103/0028-3886.253968
Adel K, Faycal A, Toufik B, Abdelhalim M. Bowel perforation and anal ventriculoperitoneal shunt migration: A systemic review. J Taibah University Med Sci. 2024;19(2): 263-9. DOI: https://doi.org/10.1016/j.jtumed.2023.12.002
Sinha AK, Panigrahi M, Shishoo DB. Spontaneous anal extrusion of a ventriculoperitoneal shunt. Indian J Surg. 1998;60:43-4.
Hassan H, Almetaher H, Elhalaby E, Nofal A, Elhady H. Rare ventriculoperitoneal shunt complication: Sigmoid colon perforation and anal extrusion. Med Sci. 2023;27(131):1-4. DOI: https://doi.org/10.54905/disssi/v27i131/e52ms2713
Awwad AR, Odeh M, Asad D. Ventriculoperitoneal shunt migration into the transverse colon: A Case Report. Cureus. 2024;15;16(1):e52334. DOI: https://doi.org/10.7759/cureus.52334
Chugh A, Gotecha S, Amle G, Patil A, Punia P, Kotecha M. Abnormal migration and extrusion of abdominal end of ventriculoperitoneal shunt: An experience of eight cases. J Pediatr Neurosci. 2018;13(3):317-21. DOI: https://doi.org/10.4103/JPN.JPN_18_18
Karshe NA, Osman FAO, Elmi AM, Mohamed Dirie A. Anal extrusion of silent migrated ventriculoperitoneal shunt: Case report and literature review. Radiol Case Rep. 2024;19(4):1524-7. DOI: https://doi.org/10.1016/j.radcr.2023.11.067
Brownlee JD, Brodkey JS, Schaefer IK. Colonic operation by ventriculoperitoneal shunt tubing: a case of suspected silicone allergy. Surg Neurol. 1998;49(1):21-4. DOI: https://doi.org/10.1016/S0090-3019(97)00014-1
Kang HG, Cho KY, Mun JH, Lee LS. Colonic perforation as a complication of ventriculoperitoneal shunt: two case reports with a literature review. J Kor Society Stereotact Functional Neurosurg. 2022;18(1):37-41. DOI: https://doi.org/10.52662/jksfn.2022.00143
Shbani A, Zainabo A, Zainabo R, Alsayed C, Ranjous N. Complex complications following ventriculoperitoneal shunt placement in Syria: A case report on multiple bowel perforations, migration, and obstruction. Int J Surg Case Rep. 2024;124:1-5. DOI: https://doi.org/10.1016/j.ijscr.2024.110348
Downloads
Published
How to Cite
Issue
Section
