Incisional hernia represents a rare complication after ventriculoperitoneal shunt positioning due to failure of the fascial suture in the site of abdominal entrance of ventriculoperitoneal catheter. Clinical presentation can be extremely variable, according to patient's performance status, herniated material constitution (i.e. mesenteric fat, bowel loops or both) and complication occurrence (e....

A patient received a ventriculoperitoneal shunt operation for hydrocephalus after subarachnoid hemorrhage. Postoperative computed tomography incidentally revealed asymptomatic pneumothorax caused by a shunt tube passing through the thoracic space. The patient was observed without removal of the tube or chest drainage, with the expectation of spontaneous recovery. However, the pneumothorax was n...

A case of spontaneous nontraumatic cerebrospinal fluid rhinorrhoea secondary to aqueductal stenosis is reported. The patient required direct repair of the fistula after the insertion of a ventriculoperitoneal shunt for aqueductal stenosis. We emphasise an unusual complication of tension pneumocephalus in a case where the shunt patency had been substantiated. Intracranial pressure fall due to th...

INDIAN PEDIATRICS 187 VOLUME 42FEBRUARY 17, 2005 Proximal migration is a rare complication of the ventriculoperitoneal shunt for congenital hydrocephalus. The sites reported for proximal migration include subgaleal space(1), scalp(2), subdural space, cavity of a subdural hematoma and ventricles(3,4). We encountered proximal migration of an entire ventriculoperitoneal shunt into the ventricles a...

Infection is a common complication of ventriculoperitoneal shunts, and ascites is one of the rare manifestations of shunt infection. We report a neonate in whom shunt infection is presented only by ascites. The causative organism, coagulase negative staphylococci, was detected only in the cerebrospinal fluid although peritoneal fluid analysis was consistent with infection. Our patient shows the...

Objectives: Ventriculoperitoneal shunt surgery is the most widely used procedure in the treatment of hydrocephalus. However, this procedure has been associated with several delayed unusual complications. This paper will discuss these cases, their management and suggest ways on how to avoid these complications. Methods: This prospective study was conducted in the neurosurgery unit at King Hussei...

Ventriculoperitoneal shunt (VPS) is the conventional method of managing hydrocephalus until recently that endoscopic third ventriculostomy is becoming popular. The major disadvantage of VPS is the fact that it constitutes a foreign body and prone to complications such as mechanical blockage, shunt infection, shunt migration and rarely shunt protrusion. Shunt extrusion through the vagina and anu...

A case of E. coli meningitis in a patient with a ventriculoperitoneal shunt was encountered recently at our institution . A shunt-induced bowel perforation was demonstrated by injecting contrast material percutaneously into the proximal end of the shunt. Apparently, retrograde spread of normal bowel flora via the shunt was responsible for his unusual Gram-negative meningitis. Because of the dis...

Ventriculoperitoneal shunt application is among the most frequently performed procedure in the treatment of hydrocephalus. Despite the peritoneal cavity being convenient for absorption of cerebrospinal fluid, multiple complications related to the shunt tend to develop in this area. Anal migration of ventriculoperitoneal shunt catheter is seen as a rare complication due to the intestinal perfora...