A female baby of one-and-a-half-year old presented with extrusion of ventriculoperitoneal (VP) shunt through umbilicus. On exploration, the urachal remnant was found perforated by VP shunt and the tube exteriorized through umbilicus. Child was managed successfully with excision of urachal remnant, removal of VP shunt, antibiotic treatment and re-insertion of shunt.

Objective: Sensitive antibiotic combine with shunt valve injection is a new, simple and effective method to treatment for VP shunt infection. Methods: We retrospectively reviewed 15 consecutive patients who were diagnosed intracranial infection after VP shunt and received our new treatment between Feb 2010 and Feb 2013. We have a 2-5 years follow-up to evaluate prognosis and security. Results: ...

The usefulness of selective transplenic decompression of oesophageal varices by distal splenorenal shunt and splenocaval shunt was evaluated in the control of gastrointestinal haemorrhage in patients with portal hypertension of varied aetiology. (Decompression was successful in 69 out of 78 cases.) It was shown that it is superior to total portosystemic shunts, as the incidence of encephalopath...

background: one of the important etiologies for cryptogenic stroke is paradoxical embolization secondary to patent foramen ovale (pfo). foramen ovale can secondarily reopen due to pulmonary arterial hypertension (pah) which is common among the older age. pah is known as a frequent and life threatening complication of copd. the aim of this study was to determine the prevalence of pfo between cop...

background and importance: lumboperitoneal shunts are commonly used to treat several conditions, but their use can result in significant complications. we discuss a complication of these shunts that has not been reported in the literature to date. case presentation: an obese, 41-year-old woman admitted to rasool akram hospital complaining of a severe headache and blurred vision. the physical ex...

To determine ventriculoperitoneal shunt patency during routine MR imaging of the head, 23 patients were studied with T1-weighted fast-field-echo scans. Without knowledge of the results of previous MR/CT studies or of the patients' clinical history, we reviewed the fast-field-echo studies and divided them according to those judged to have shunt flow (18) and those judged not to have flow (five)....

Erythrocyte (RBC) metabolic studies were done on 114 patients with severe hepatic disease. Heinz body formation after incubation of RBCs with acetyl phenylhydrazine was found to be significantly higher in patients than in controls. RBC-reduced glutathione levels were lower than those of controls both before and after incubation with acetyl phenylhydrazine, and patients with the highest Heinz bo...

In the last decade, a superior mesenteric-intrahepatic left portal shunt (Rex shunt) has been reported for successful management of extrahepatic portal vein obstruction in children. However, in adults, a mesocaval shunt has been generally performed for the surgical management of extrahepatic portal vein obstruction because of the complexity of the underlying disease and the difficulty of the su...

Ventriculo-subgaleal (VSG) shunt placement is an option for temporary CSF diversion in neonate suffering from hydrocephalus. The authors describe step-by-step technique of VSG shunt assembly and insertion by using previously-cut shunt tubes and connector. It is simple and inexpensive. The authors also present a short review of the literature of the VSG shunt.