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Transdiaphragmatic ventriculoperitoneal shunting: technical case report
1Department of Neurosurgery, University of Minnesota Hospital, Minneapolis, USA.
Objective And Importance:
This report describes an important technical modification in ventriculoperitoneal shunting.
Clinical Presentation:
A young woman presented with shunt malfunction caused by occlusion of the peritoneal catheter. Conventional sites for placement of distal catheter were unavailable or had been used up.
Intervention:
After the installation of a ventriculopleural shunt resulted in pleural effusion, it was converted to a transdiaphragmatic ventriculoperitoneal shunt, resulting in an excellent clinical outcome.
Conclusion:
The suprahepatic subdiaphragmatic space can be directly accessed in some selected patients with extensive peritoneal adhesions, resulting in successful ventriculoperitoneal shunting.