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Ventriculoperitoneal shunt catheter masquerading as ascariasis
Sanjeev K Gupta1, Awadhesh K Jaiswal, Sushil Kumar
1Department of Neurosurgery, St. Stephen's Hospital, Near Tees Hazari, Delhi, India.
Summary
A rare complication of ventriculoperitoneal shunts occurred when a catheter extruded through the anus in an infant with hydrocephalus. Bowel perforation happened without infection, highlighting unique shunt complications.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Gastroenterology
Background:
- Hydrocephalus is a common condition in infants requiring cerebrospinal fluid diversion.
- Ventriculoperitoneal shunts are a standard treatment, but complications can arise.
Observation:
- A rare case of ventriculoperitoneal shunt catheter extrusion through the anus in an 8-month-old child is presented.
- The shunt catheter perforated the bowel.
Findings:
- The complication occurred without signs of peritonitis or retrograde infection of the shunt system.
- This suggests a unique pathogenesis for shunt extrusion.
Implications:
- Understanding rare complications like bowel perforation is crucial for pediatric neurosurgeons.
- This case highlights the importance of vigilant monitoring for unusual shunt-related issues.