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CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(02): 425-427
DOI: 10.4103/ajns.AJNS_347_19
Case Report

Extrusion of anterior abdominal wall by a ventriculoperitoneal shunt - An uncommon complication: Case report and literature review

Amira Alolyani
Department of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam
,
Fatimah Al Dandan
Department of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam
,
Shaymaa Al-Umran
Department of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam
,
Ahmed Ammar
Department of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam
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Ventriculoperitoneal shunt (VP-shunt) is a commonly performed procedure for the management of hydrocephalus. Migration of the distal end of VP-shunt is one of the rarest complications. The authors report a case of an 11-year-old boy who presented with a spontaneous extrusion of the distal end of the VP-shunt through an intact abdominal wall. Literature was reviewed regarding the possible causes of such complication and the management approach in similar cases. The suggested phenomenon for this case could be attributed to the continuous hammer effect of the cerebrospinal fluid (CSF) pulsations on the abdominal wall. It is important to assess the future need for long-term CSF diversion, as in this case, the patient did not require reinsertion of a new shunt system because he was shunt independent.

Key-words:

Abdominal wall - cerebrospinal fluid - extrusion - shunt independent - ventriculoperitoneal shunt

Financial support and sponsorship

Nil.




Publication History

Received: 29 November 2019

Accepted: 08 April 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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