Abstract
Ventriculo-peritoneal shunt is frequently carried out in infantile hydrocephalus. The peritoneal shunt has a lower morbidity than ventriculo-atrial shunts and severe complications are uncommon. Abdominal complications include intestinal perforation, shunt migration, inguinal hernia, cerebrospinal fluid pseudocysts and hollow viscus perforation. A few cases of catheter extrusion from the rectum, vagina, umbilicus and urethra have been described. We report a new case of intestinal perforation with rectal extrusion of the catheter associated with a ventriculogram.
This is a preview of subscription content, log in via an institution to check access.
References
Adeloye A (1973) Spontaneous extrusion of the abdominal tube through the umbilicus complicating peritoneal shunt for hydrocephalus. Case report. J Neurosurg 38: 758
Alker G, Glasauer F, Leslie E (1973) The radiology of cerebrospinal fluid shunts and their complications. Br J Radiology 46: 496
Ames R (1967) Ventriculo-peritoneal shunts in the management of hydrocephalus. J Neurosurg 27: 525
Bristow D, Buntain W, James H (1978) Ventriculoperitoneal shunt migration causing an acute scrotum: a case report of Doppler evaluation. J Pediatr Surg 13: 538
Burnette D (1982) Bladder performation and urethral catheter extrusion: an unusual complication of cerebrospinal fluidperitoneal shunting. J Urol 127: 543
Dean D, Keller E (1972) Cerebrospinal fluid ascites: a complication of ventriculoperitoneal shunt. J Neurol Neurosurg Psychiatry 35: 474
Eisenberg H, Davidson R, Shillito J (1971) Lumboperitoneal shunts. Review of 34 cases. J Neurosurg 35: 427
Fischer E, Shillito J (1969) Large abdominal cysts: a complication of peritoneal shunts. Report of three cases. J Neurosurg 31: 441
Grosfeld J, Cooney D, Smith J, et al. (1974) Intra-abdominal complications following ventriculoperitoneal shunt procedures. Pediatrics 54: 791
Ignelzi R, Kirsch W (1975) Follow-up analysis of ventriculoperitoneal and ventriculoatrial shunts for hydrocephalus. J Neurosurg 42: 679
Padovani J, Faure F, Devred P, Grangier ML, Panuel M (1982) Dérivation ventriculo-bronchique. Meeting of Groupe de Radiologie Pediatrique Jacques Lefebvre Venice, March 17
Parry W, Schuhmacher J, Llewellyn R (1975) Abdominal pseudocysts and ascites formation after ventriculoperitoneal shunt procedures. Report of four cases. J Neurosurg 43: 476
Patel F, Matlour H (1973) Vaginal perforation as a complication of ventriculoperitoneal shunt. Case report. J Neurosurg 38: 761
Portnoy H, Croissant P (1973) Two unusual complications of a ventriculoperitoneal shunt. Case report. J Neurosurg 39: 775
Ramani P (1974) Extrusion of abdominal catheter of ventriculoperitoneal shunt into the scrotum. Case report. J Neurosurg 40: 772
Rubin R, Ghatak N, Visudhipan P (1972) Asymptomatic perforated viscus and gram-negative ventriculitis as a complication of valve regulated ventriculoperitoneal shunts. Report of two cases. J Neurosurg 37: 616
Sakoda T, Maxwell J, Brackett C (1971) Intestinal volvulus secondary to a ventriculoperitoneal shunt. Case report. J Neurosurg 35: 95
Savoiardo M, Solero C, Passerini A, Migliavacca F (1978) Determination of cerebrospinal fluid shunt function with watersoluble contrast medium. J Neurosurg 49: 398
Scott M, Wycis H, Murtagh F, et al. (1955) Observations on ventricular and lumbar subarachnoid shunts in hydrocephalus in infants. J Neurosurg 12: 165
Wilson C, Bertan V (1966) Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of two cases. Am Surg 32: 601
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Aricó, M., Beluffi, G., Fiori, P. et al. Rectal extrusion of the catheter and air ventriculography following bowel perforation in ventriculo-peritoneal shunt. Pediatr Radiol 15, 53–55 (1985). https://doi.org/10.1007/BF02387854
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02387854