Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Upward Migration of a Peritoneal Catheter Following Ventriculoperitoneal Shunt

  • Cho, Kyung Rae (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yeon, Je Young (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin, Hyung Jin (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2012.11.26
  • Accepted : 2013.06.19
  • Published : 2013.06.28
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Abstract

We present an unusual case of peritoneal catheter migration following a ventriculoperitoneal shunt operation. A 7-month-old infant, who had suffered from intraventricular hemorrhage at birth, was shunted for progressive hydrocephalus. The peritoneal catheter, connected to an 'ultra small, low pressure valve system' (Strata$^{(R)}$; PS Medical,Gola, CA, USA) at the subgaleal space, was placed into the peritoneal cavity about 30 cm in length. The patient returned to our hospital due to scalp swelling 21 days after the surgery. Simple X-ray images revealed total upward migration and coiling of the peritoneal catheter around the valve. Possible mechanisms leading to proximal upward migration of a peritoneal catheter are discussed.

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References

  1. Abou el Nasr HT : Modified method for prophylaxis against unishunt system complications with presentation of total intraventricular migration of unisystem ventriculoperitoneal shunt. Childs Nerv Syst 4 : 116-118, 1988
  2. 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
  3. Al Hinai QS, Pawar SJ, Sharma RR, Devadas RV : Subgaleal migration of a ventriculoperitoneal shunt. J Clin Neurosci 13 : 666-669, 2006 https://doi.org/10.1016/j.jocn.2005.07.020
  4. Cheng JY, Lo WC, Liang HH, Kun IH : Migration of ventriculoperitoneal shunt into the stomach, presenting with gastric bleeding. Acta Neurochir (Wien) 149 : 1269-1270, 2007 https://doi.org/10.1007/s00701-007-1413-9
  5. Chong JY, Kim JM, Cho DC, Kim CH : Upward migration of distal ventriculoperitoneal shunt catheter into the heart : case report. J Korean Neurosurg Soc 44 : 170-173, 2008 https://doi.org/10.3340/jkns.2008.44.3.170
  6. Dominguez CJ, Tyagi A, Hall G, Timothy J, Chumas PD : Sub-galeal coiling of the proximal and distal components of a ventriculo-peritoneal shunt. An unusual complication and proposed mechanism. Childs Nerv Syst 16 : 493-495, 2000 https://doi.org/10.1007/PL00007294
  7. Eljamel MS, Sharif S, Pidgeon CN : Total intraventricular migration of unisystem ventriculo-peritoneal shunt. Acta Neurochir (Wien) 136 : 217-218, 1995 https://doi.org/10.1007/BF01410629
  8. Heim RC, Kaufman BA, Park TS : Complete migration of peritoneal shunt tubing to the scalp. Childs Nerv Syst 10 : 399-400, 1994 https://doi.org/10.1007/BF00335131
  9. Hermann EJ, Zimmermann M, Marquardt G : Ventriculoperitoneal shunt migration into the pulmonary artery. Acta Neurochir (Wien) 151 : 647-652, 2009 https://doi.org/10.1007/s00701-009-0282-9
  10. Ho CC, Jamaludin WJ, Goh EH, Singam P, Zainuddin ZM : Scrotal mass : a rare complication of ventriculoperitoneal shunt. Acta Medica (Hradec Kralove) 54 : 81-82, 2011
  11. Kloss BT, Hart DM, Secreti L : Subgaleal coiling of the proximal and distal components of a ventriculoperitoneal shunt. Int J Emerg Med 5 : 15, 2012 https://doi.org/10.1186/1865-1380-5-15
  12. Miyamoto J, Niijima K : [Migration of the distal catheter of ventriculo-peritoneal shunt into the thoracic cavity]. No Shinkei Geka 40 : 241-245, 2012
  13. Nadkarni TD, Menon RK, Dange NN, Desai KI, Goel A : Cranial migration of complete ventriculo-peritoneal shunt assembly. J Clin Neurosci 14 : 92-94, 2007 https://doi.org/10.1016/j.jocn.2005.12.027
  14. Pang D, Wilberger JE Jr : Upward migration of peritoneal tubing. Surg Neurol 14 : 363-364, 1980
  15. Pohlman GD, Wilcox DT, Hankinson TC : Erosive bladder perforation as a complication of ventriculoperitoneal shunt with extrusion from the urethral meatus : case report and literature review. Pediatr Neurosurg 47 : 223-226, 2011 https://doi.org/10.1159/000334277
  16. Sayers MP : Shunt complications. Clin Neurosurg 23 : 393-400, 1976 https://doi.org/10.1093/neurosurgery/23.CN_suppl_1.393
  17. Scott M, Wycis HT, Murtagh F, Reyes V : Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalus in infants. J Neurosurg 12 : 165-175, 1955 https://doi.org/10.3171/jns.1955.12.2.0165

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