Upward Migration and Peroral extrusion of a peritoneal shunt catheter: Case report and review of the literature

Asra Al Fauzi, 091170105 and Wihasto Suryaningtyas, 011317017310 and Joni Wahyuhadi, NIDN. 8885900016 and Muhammad Arifin Parenrengi, dr and Agus Turchan, NIDN. 8822800016 and Maria C. Wijaya and Michael Jonatan, 011311133002 and Mahyudanil and Hanis Setyono (2017) Upward Migration and Peroral extrusion of a peritoneal shunt catheter: Case report and review of the literature. Surgical Neurology International, 8. ISSN 21527806

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Background:Various complications after ventriculoperitoneal (VP) shunt surgery have been reported, but peroral extrusion of peritoneal catheter is an extremely rare complication, and only 20 cases have been reported since 1987. The pathophysiology still remains unclear and the management is challenging. Case Description:A 5-year-old boy presented with a catheter coming out of his mouth. The boy had a posterior fossa tumor surgery and had VP shunt insertion 1 year earlier. Clinical signs and imaging studies showed that the distal end of the catheter had perforated the gaster and migrated upward and extruded through the mouth. Emergency removal of the shunt and proper treatment were done and he made uneventful recovery. Conclusion:Peroral extrusion of VP shunt is extremely rare. Clinicians should be aware of this complication. With early diagnosis and proper management, the prognosis for good recovery is excellent, with only two deaths being reported in the literature. Complication of shunt extrusion is difficult to avoid, but knowing the risk factors, pathophysiology and proper management will decrease the morbidity and mortality of such cases.

Item Type: Article
Uncontrolled Keywords: Management, patophysiology, peroral extrusion, risk factors, VP shunt
Subjects: R Medicine > R Medicine (General)
R Medicine > RD Surgery
Divisions: 01. Fakultas Kedokteran > Ilmu Bedah Saraf
Asra Al Fauzi, 091170105UNSPECIFIED
Wihasto Suryaningtyas, 011317017310UNSPECIFIED
Joni Wahyuhadi, NIDN. 8885900016joniwahyuhadi@fk.unair.ac.id
Muhammad Arifin Parenrengi, drUNSPECIFIED
Agus Turchan, NIDN. 8822800016UNSPECIFIED
Michael Jonatan, 011311133002UNSPECIFIED
Depositing User: hanif kurniawan
Date Deposited: 04 Sep 2019 04:25
Last Modified: 04 Sep 2019 04:25
URI: http://repository.unair.ac.id/id/eprint/86170
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