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.

Insights

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.