Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Migration and Coiling of Peritoneal Catheter into the Subgaleal Space : A Very Rare Complication of Subgaleoperitoneal Shunt

  • Yee, Gi-Taek (Department of Neurosurgery, Gil Medical Center, Gachon University) ;
  • Han, Seong-Rok (Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University) ;
  • Choi, Chan-Young (Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University)
  • Received : 2013.04.18
  • Accepted : 2013.12.12
  • Published : 2013.12.28
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Abstract

Upward migration of the peritoneal catheter of a subgaleo-peritoneal (SP) shunt and coiling into the subgaleal space is an extremely rare complication of a SP shunt. A 32-year-old male patient visited our hospital presenting with a large skull defect due to a prior craniectomy performed elsewhere. The patient underwent a cranioplasty with methylmetacrylate, but subsequently developed progressive pseudomeningocele and subgaleal cerebrospinal fluid (CSF) collection. The patient underwent CSF diversion via a SP shunt. After SP shunting, the pseudomeningocele disappeared completely. Six months later, the patient presented with progressive scalp swelling. Skull X-ray showed migration and coiling of the distal catheter of the SP shunt. The patient was treated by removing the entire shunt catheter and the dura was covered with a subgaleal flap. We would like to report our experience with a very rare complication of subgaleo-peritoneal shunting.

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References

  1. Acharya R, Bhutani A, Saxena H, Madan VS : Complete migration of ventriculoperitoneal shunt into the ventricle. Neurol Sci 23 : 75-77, 2002 https://doi.org/10.1007/s100720200029
  2. Agarwal A, Kakani A : Shunt malfunction due to proximal migration and subcutaneous coiling of a peritoneal catheter. J Neurosci Rural Pract 1 : 120-121, 2010 https://doi.org/10.4103/0976-3147.71731
  3. Jang HD, Kim MS, Lee NH, Kim SH : Anal Extrusion of Distal V-P Shunt Catheter after Double Perforation of Large Intestine. J Korean Neurosurg Soc 42 : 232-234, 2007
  4. Johnson MC, Maxwell MS : Delayed intrapleural migration of a ventriculoperitoneal shunt. Childs Nerv Syst 11 : 348-350, 1995 https://doi.org/10.1007/BF00301669
  5. Kiran NA, Thakar S, Mohan D, Aryan S, Rao AS, Hegde AS : Subgaleo-peritoneal shunt : an effective and safer alternative to lumboperitoneal shunt in the management of persistent or recurrent iatrogenic cranial pseudomeningoceles. Neurol India 61 : 65-68, 2013 https://doi.org/10.4103/0028-3886.108014
  6. Oktem IS, Akdemir H, Koc K, Menku A, Tucer B, Selçuklu A, et al. : Migration of abdominal catheter of ventriculoperitoneal shunt into the scrotum. Acta Neurochir (Wien) 140 : 167-170, 1998 https://doi.org/10.1007/s007010050078
  7. Pang D, Wilberger JE Jr : Upward migration of peritoneal tubing. Surg Neurol 14 : 363-364, 1980
  8. Patel CD, Matloub H : Vaginal perforation as a complication of ventric uloperitoneal shunt. Case report. J Neurosurg 38 : 761-762, 1973 https://doi.org/10.3171/jns.1973.38.6.0761
  9. Shahsavaran S, Kermani HR, Keikhosravi E, Nejat F, El Khashab M : Ventriculoperitoneal shunt migration and coiling : a report of two cases. J Pediatr Neurosci 7 : 114-116, 2012 https://doi.org/10.4103/1817-1745.102572
  10. Thipphavong S, Kellenberger CJ, Rutka JT, Manson DE : Hepatic and colonic perforation by an abandoned ventriculoperitoneal shunt. Pediatr Radiol 34 : 750-752, 2004
  11. Wakai S : Extrusion of a peritoneal catheter through the abdominal wall in an infant. Case report. J Neurosurg 57 : 148-149, 1982 https://doi.org/10.3171/jns.1982.57.1.0148
  12. Wei Q, Qi S, Peng Y, Fan J, Lu Y : Unusual complications and mechanism : migration of the distal catheter into the heart--report of two cases and review of the literature. Childs Nerv Syst 28 : 1959-1964, 2012 https://doi.org/10.1007/s00381-012-1814-9

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