Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University
Background: Treatment for hydrocephalus often involves the installation of a ventriculoperitoneal (VP) shunt. Relatively uncommon problems include migration and extrusion of the VP shunt's distal end. Once the distal end of the VP shunt extruded to the external environment or imbedded in unclea...
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South Valley University, Faculty of Medicine
2024-07-01
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| Series: | SVU - International Journal of Medical Sciences |
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| Online Access: | https://svuijm.journals.ekb.eg/article_382680.html |
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| author | Ahmed Kamal Abdelhameid Khaled Nasser Fadle Bahaa Ghareeb Hassanin |
| author_facet | Ahmed Kamal Abdelhameid Khaled Nasser Fadle Bahaa Ghareeb Hassanin |
| author_sort | Ahmed Kamal Abdelhameid |
| collection | DOAJ |
| description | Background: Treatment for hydrocephalus often involves the installation of a ventriculoperitoneal (VP) shunt. Relatively uncommon problems include migration and extrusion of the VP shunt's distal end. Once the distal end of the VP shunt extruded to the external environment or imbedded in unclean media the risk of CNS infection associated with morbidity and mortality will increase. Periodic follow for the VP shunt and early management of the complications is a goal to all neurosurgeons nowadays.
Objectives: to outline the serious rare complications of the ventriculoperitoneal shunt that may happen due to ignorance of the periodic follow up, and the value of early intervention to decrease the morbidity and mortality of these cases. .
Patient and methods: A retrospective study conducted at Sohag University Hospitals on twelve hydrocephalic patients treated with ventriculoperitoneal shunt, during the period from April 2021 to January 2024.
Under general anesthesia, our patients treated with VP shunt extraction then a new shunt applied or revision of the same distal tube of the VP shunt.
Results: We included twelve patients with median age 12.5 months and male to female ratio (3:1) manifested by ventriculoperitoneal shunt complication: extrusion through the anus ( 4 cases 33.3%), scrotum (two patients 16.7%) other sites( 6 patients 50%) like: coiling of the distal end around the flusher, migration to the urinary bladder or flanks, myelomeningocele wound, and an exploratory wound. The main complaint was the fever (100%), early meningeal symptoms (50%). Ten patients treated with new distal tube insertion (83.3%) and 2 patients revision of the same distal end done (16.7%). Demographic data, site of migration, treatment protocol and subsequent related morbidity and mortality and outcome on follow up recorded.
Conclusion: Close follow up with early detection of the shunt complication may secure us for going to abnormal rare complications. |
| format | Article |
| id | doaj-art-2c3d412caabc4d1d9c3660044a085191 |
| institution | Kabale University |
| issn | 2735-427X 2636-3402 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | South Valley University, Faculty of Medicine |
| record_format | Article |
| series | SVU - International Journal of Medical Sciences |
| spelling | doaj-art-2c3d412caabc4d1d9c3660044a0851912025-02-06T09:55:42ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022024-07-0172579593https://doi.org/10.21608/svuijm.2024.313513.1967Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag UniversityAhmed Kamal Abdelhameid 0Khaled Nasser Fadle 1 Bahaa Ghareeb Hassanin2Department of Neurosurgery, Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Neurosurgery, Faculty of Medicine, Sohag University, Sohag, EgyptDepartment of Neurosurgery, Faculty of Medicine, Sohag University, Sohag, EgyptBackground: Treatment for hydrocephalus often involves the installation of a ventriculoperitoneal (VP) shunt. Relatively uncommon problems include migration and extrusion of the VP shunt's distal end. Once the distal end of the VP shunt extruded to the external environment or imbedded in unclean media the risk of CNS infection associated with morbidity and mortality will increase. Periodic follow for the VP shunt and early management of the complications is a goal to all neurosurgeons nowadays. Objectives: to outline the serious rare complications of the ventriculoperitoneal shunt that may happen due to ignorance of the periodic follow up, and the value of early intervention to decrease the morbidity and mortality of these cases. . Patient and methods: A retrospective study conducted at Sohag University Hospitals on twelve hydrocephalic patients treated with ventriculoperitoneal shunt, during the period from April 2021 to January 2024. Under general anesthesia, our patients treated with VP shunt extraction then a new shunt applied or revision of the same distal tube of the VP shunt. Results: We included twelve patients with median age 12.5 months and male to female ratio (3:1) manifested by ventriculoperitoneal shunt complication: extrusion through the anus ( 4 cases 33.3%), scrotum (two patients 16.7%) other sites( 6 patients 50%) like: coiling of the distal end around the flusher, migration to the urinary bladder or flanks, myelomeningocele wound, and an exploratory wound. The main complaint was the fever (100%), early meningeal symptoms (50%). Ten patients treated with new distal tube insertion (83.3%) and 2 patients revision of the same distal end done (16.7%). Demographic data, site of migration, treatment protocol and subsequent related morbidity and mortality and outcome on follow up recorded. Conclusion: Close follow up with early detection of the shunt complication may secure us for going to abnormal rare complications.https://svuijm.journals.ekb.eg/article_382680.htmlventriculoperitoneal shunt abdominal end migrationextrusion shunt complications |
| spellingShingle | Ahmed Kamal Abdelhameid Khaled Nasser Fadle Bahaa Ghareeb Hassanin Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University SVU - International Journal of Medical Sciences ventriculoperitoneal shunt abdominal end migration extrusion shunt complications |
| title | Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University |
| title_full | Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University |
| title_fullStr | Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University |
| title_full_unstemmed | Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University |
| title_short | Abnormal Migration of Distal End of Ventriculoperitoneal Shunt: A Retrospective Case Series at Sohag University |
| title_sort | abnormal migration of distal end of ventriculoperitoneal shunt a retrospective case series at sohag university |
| topic | ventriculoperitoneal shunt abdominal end migration extrusion shunt complications |
| url | https://svuijm.journals.ekb.eg/article_382680.html |
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