Spontaneous Umbilical Cerebrospinal Fluid Fistula due to Transdermal Dislocation of the Ventriculoperitoneal Distal Shunt Ending – A Case Report

K. Fleissig; J. Hattingen; L. Wilkens; C. Förster; M. R. Gaab; R. Burger

doi:10.1055/s-0032-1313643

Journal of Neurological Surgery Part A: Central European Neurosurgery, Table of Contents

Cent Eur Neurosurg 2013; 74(01): 064-067
DOI: 10.1055/s-0032-1313643

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Umbilical Cerebrospinal Fluid Fistula due to Transdermal Dislocation of the Ventriculoperitoneal Distal Shunt Ending – A Case Report^[*]

Authors

K. Fleissig

¹Nordstadtkrankenhaus, Neurochirurgie, Hannover, Germany
J. Hattingen

²Nordstadtkrankenhaus, Neuroradiologie, Hannover, Germany
L. Wilkens

³Nordstadtkrankenhaus, Pathologie, Hannover, Germany
C. Förster

³Nordstadtkrankenhaus, Pathologie, Hannover, Germany
M. R. Gaab

¹Nordstadtkrankenhaus, Neurochirurgie, Hannover, Germany
R. Burger

¹Nordstadtkrankenhaus, Neurochirurgie, Hannover, Germany

Abstract

Full Text

References

References
1 Agha FP, Amendola MA, Shirazi KK , et al. Unusual abdominal complications of ventriculoperitoneal shunts. Radiology 1983; 146: 323-326
2 Chen PR, Spetzler RF. Persistent lower abdominal pain induced by long peritoneal shunt catheter. Acta Neurochir (Wien) 2008; 150 (8) 829-831
3 Das PC, Radhakrishna K, Rao PLNG. Spontaneous umbilical fistula: a rare complication of ventrikuloperitoneal shunt. J Pediatr Surg 1993; 28 (4) 630-631
4 Dua R, Jain R. Peroral extrusion of ventriculoperitoneal shunt: a case report and review of the literature. Cen Eur Neurosurg 2011; 72 (2) 107-108
5 Ghritlaharey RK, Budhwani KS, Shrivastava DK , et al. Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children. Pediatr Surg Int 2007; 23 (6) 575-580
6 Goldblum RM, Pelley RP, ODonell AA , et al. Antibodies to silicone elastomers and reactions to ventriculoperitoneal shunts. Lancet 1992; 340 (8818) 510-513
7 Gower DJ, Lewis Jr JC, Kelly DL. Sterile shunt malfunction. A scanning electron microscopic perspective. J Neurosurg 1984; 61 (6) 1079-1084
8 Grosfeld JL, Cooney DR. Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg 1974; 9: 311-315
9 Gupta A, Ahmad FU, Kumar A , et al. Umbilical CSF fistula: a rare complication of ventriculoperitoneal shunt. Acta Neurochir (Wien) 2006; 148: 1205-1207
10 Hussain NS, Wang PP, James C , et al. Distal ventriculoperitoneal shunt failure caused by silicone allergy. Case report. J Neurosurg 2005; 102 (3) 536-539
11 Matsuoka H, Takegami T, Maruyama D , et al. Transanal prolapse of a ventriculoperitoneal shunt catheter – case ceport. Neurol Med Chir (Tokyo) 2008; 48: 526-528
12 Mohindra S, Singla N, Gupta R , et al. CSF fistula through the umbilicus following a shunt surgery: a case report and literature review. Pediatr Neurosurg 2007; 43: 396-398
13 Mohite PN, Bhatnagar AM, Hathila VP , et al. Patent vitellointestinal duct with prolapse of inverted loop of small intestine: a case report. J Med Case Reports 2007; 1: 49
14 Pittman T, Williams D, Rathore M , et al. The role of ethylene oxide allergy in sterile shunt malfunctions. Br J Neurosurg 1994; 8 (1) 41-45
15 Ratilal B, Costa J, Sampaio C. Antibiotic prophylaxis for surgical introduction of intracranial ventricular shunts. Cochrane Database Syst Rev 2006; 3 CD005365
16 Ratilal B, Costa J, Sampaio C. Antibiotic prophylaxis for surgical introduction of intracranial ventricular shunts: a systematic review. J Neurosurg Pediatr 2008; 1 (1) 48-56
17 Surchev J, Georgiev K, Enchev Y , et al. Extremely rare complications in cerebrospinal fluid shunt operations. J Neurosurg Sci 2002; 46: 100-102
18 Tangsinmankong Jr N, Nelson RP, Good RA. Glucocorticosteroid treatment for cerebrospinal fluid eosinophilia in a patient with ventriculoperitonial shunt. Ann Allergy Asthma Immunol 1999; 83 (4) 341-342
19 Turtas S, Orunesu G. Extrusion of peritoneal catheter through a thoracic skin fistula: report of a rare complication of ventriculoperitoneal shunt. Neurochirugia (Stuttgart) 1992; 35 (4) 121-122
20 VandeVord PJ, Gupta N, Wilson RB , et al. Immune reactions associated with silicone-based ventriculo-peritoneal shunt malfunctions in children. Biomaterials 2004; 25 (17) 3853-3860
21 Weichert J, Chiriac A, Kaiser M , et al. Prenatal management of an allantoic cyst with patent urachus. Arch Gynecol Obstet 2009; 280: 321-323

Spontaneous Umbilical Cerebrospinal Fluid Fistula due to Transdermal Dislocation of the Ventriculoperitoneal Distal Shunt Ending – A Case Report[*]

Authors

Spontaneous Umbilical Cerebrospinal Fluid Fistula due to Transdermal Dislocation of the Ventriculoperitoneal Distal Shunt Ending – A Case Report^[*]