Article

Migration of the distal end of a ventriculoperitoneal shunt into the abdominal wall in an obese patient: case report.

Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Neurologia medico-chirurgica (impact factor: 0.61). 10/2009; 49(10):490-2. pp.490-2
Source: PubMed

ABSTRACT A 64-year-old obese woman underwent ventriculoperitoneal shunting for hydrocephalus associated with subarachnoid hemorrhage. On the 10th postoperative day, the distal end of the peritoneal catheter migrated into the abdominal wall and she developed a cyst filled with cerebrospinal fluid around the migrated catheter. The distal end of the catheter was surgically repositioned. We attribute the migration to increased intra-abdominal pressure due to obesity, the use of a low friction hydrogel-processed peritoneal catheter, and the presence of a large dead space around the catheter. The laparotomy must be closed meticulously to prevent this type of migration.

0 0
 · 
0 Bookmarks
 · 
37 Views
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

10th postoperative day
 
64-year-old obese woman
 
abdominal wall
 
cerebrospinal fluid
 
distal end
 
hydrocephalus
 
intra-abdominal pressure
 
large dead space
 
meticulously
 
subarachnoid hemorrhage
 
ventriculoperitoneal shunting