The Teaching Point

Abandoned ventriculoperitoneal shunt complications such as migration and perforation may be easily missed, especially when the imaging indication or patient`s symptoms are not attributed to shunt complications. Clinical follow-up and serial imaging may be management options in asymptomatic patients with multiple comorbidities.






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From the manuscript

Asymptomatic Bowel Perforation by Abandoned Ventriculoperitoneal Shunt

Free full text article: Asymptomatic Bowel Perforation by  Abandoned Ventriculoperitoneal Shunt

Abstract
We report a case of an abandoned abdominal ventriculoperitoneal shunt that migrated into the gastric antrum, colonic hepatic flexure, and liver parenchyma, which was discovered incidentally on an abdominal CT obtained for renal stones. In regards to the migrated abandoned VP shunt, the patient was asymptomatic. Upon review of prior CT scans, these findings had progressed over approximately 7 years. We describe the case and discuss the clinical and radiologic findings, complications resulting from ventriculoperitoneal shunts, and possible approaches to their management.






References



1. Keucher T, Mealey J. Long-term results after ventriculoatrial and ventriculoperitoneal shunting for infantile dyrocephalus. Journal of Neurosurgery 1979 Feb;50(2):179-86
Get full text
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2. Abdul Hai, Atia Z. Rab, Imran Ghani, Muhammad F. Huda, and Abdul Q Quadir
Get full text
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3. Hok-Nam Li, Tze-Ching Tan* and Fung-Ching Cheung. Transanal protrusion of ventriculoperitoneal shunt. Surgical Practice 2008 Aug;12(3):93-6.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Vinchon M, Baroncini M, Laurent T, Patrick D. Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment. Neurosurgery 2006 Feb;58(1 Suppl):ONS76-82; discussion ONS76-82
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Digray NC, Thappa DR, Arora M, Mengi Y, Goswamy HL. Silent bowel perforation and transanal prolapse of a ventriculoperitoneal shunt. Pediatr Surg Int 2000;16(1-2):94-5
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Masuoka J, Mineta T, Kohata T, Tabuchi K. Peritoneal shunt tube migration into the stomach--case report--. Neurol Med Chir (Tokyo) 2005 Oct;45(10):543-6
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Karapolat S, A Onen A, Sanli A. Intrathoracic migration of ventriculoperitoneal shunt: a case report. Cases Journal 2008 July;1(42)
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Thipphavong S, Kellenberger CJ, Rutka JT, Manson DE. Hepatic and colonic perforation by an abandoned ventriculoperitoneal shunt. Pediatr Radiol 2004 Sep;34(9):750-2
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Jamjoom AB, Rawlinson JN, Kirkpatrick JN. Passage of tube per rectum: an unusual complication of a ventriculoperitoneal shunt. Br J Clin Pract 1990;44:525-6
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Abdel WMI. E. coli meningitis as an indicator of intestinal perforation by V-P shunt SurgPract
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Byard RW, Koszyca B, Qiao M. Unexpected childhood death due to a rare complication of ventriculoperitoneal shunting. Am J Forensic Med Pathol 2001 Jun;22(2):207-10
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Murali R, Ravikumar V. Transoral migration of peritoneal end of ventriculoperitoneal shunt: a case report of a rare complication and review of literature. Journal of Pediatric Neurosurgery 2008;3(2): 166-8.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Chitkara N, Gupta R, Singla S L, Sharma N K. Lower end of ventriculoperitoneal shunt embedding in liver parenchyma. Neurology India 2004 Sept;52(3):405
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Jamjoom AB, Rawlinson JN, Kirkpatrick JN. Passage of tube per rectum: an unusual complication of a ventriculoperitoneal shunt. Br J Clin Pract 1990 Nov;44(11):525-6
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Park CK, Wang KC, Seo JK, Cho BK. Transoral protrusion of a peritoneal catheter: a case report and literature review. Childs Nerv Syst 2000 Mar;16(3):184-9
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Sathyanarayana S, Wylen EL, Baskaya MK, Nanda A. Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases. Surg Neurol 2000 Nov;54(5):388-96
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Ashpole R, Boulton R, Holmes AE. A case of asymptomatic passage per-rectum of a fractured redundant peritoneal catheter from a ventriculo-peritoneal shunt. Eur J Pediatr Surg 1995 Oct;5(5):280-1
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. O`Donoghue GT, Kumar R, Taleb F, Phillips J. Per-anal extrusion of a disconnected ventriculoperitoneal catheter--an unusual complication. Ir Med J 2002 Mar;95(3):88-9
Get full text
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