Laparoendoscopic removal of peroral extrusion of a ventriculoperitoneal shunt. Issue 1 (February 2015)

• Record Type: Journal Article
• Authors: Mandhan, Parkash; Wong, Marilyn; Samarakkody, Udaya
• Is Part Of: Asian journal of endoscopic surgery. Volume 8:Issue 1(2015:Feb.)
• Page Start: 95
• Page End: 97
• Publication Date: 2015-02
• Subjects: Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12157
• Languages: English
• ISSNs: 1758-5902

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="ases12157-sec-0001" sec-type="section"> <title>Introduction</title> <p>Ventriculoperitoneal shunts for hydrocephalic children are known to cause serious complications such as GI perforation. Peroral extrusion of the peritoneal part of a ventriculoperitoneal shunt is very rare, and management could be a challenge.</p> </sec> <sec id="ases12157-sec-0002" sec-type="section"> <title>Materials and Surgical Technique</title> <p>An 11‐year‐old girl presented with peroral extrusion of the distal end of a ventriculoperitoneal shunt tube. Endoscopy and imaging studies showed that the peritoneal end had perforated the stomach and then extruded from the mouth. We used a surgical technique that combined endoscopy and laparoscopy to manage this rare complication.</p> </sec> <sec id="ases12157-sec-0003" sec-type="section"> <title>Discussion</title> <p>Peroral extrusion of a ventriculoperitoneal shunt tube occurs secondary to perforation of the upper GI tract. Managing this condition involves removing the shunt tube, attention to the perforated viscus and associated infection. A combination of endoscopy and laparoscopy provided superior views, enabled identification of the site and size of the perforated viscus, and facilitated the uneventful removal of the tube.</p> </sec> </abstract>