BACKGROUND Ventriculoperitoneal shunt is the preferred treatment for hydrocephalus. Known complications include infection, obstruction, and disconnection with the fractured fragment migrating in the peritoneal cavity. We report 17 cases of laparoscopic evaluation and revision of ventriculoperitoneal shunts in children. METHODS From January 2000 through October 2002, we retrospectively reviewe...

INTRODUCTION Pleural effusion secondary to ventriculoperitoneal shunt insertion is a rare and potentially life-threatening occurrence. CASE PRESENTATION We describe a 14-month-old Caucasian boy who had a ventriculoperitoneal shunt inserted for progressive hydrocephalus of unknown etiology. Two and a half months post-shunt insertion, the patient presented with mild respiratory distress. A ches...

Ventriculoperitoneal (VP) shunt proximal tip disconnection is rarely seen as a shunt complication. Shunt dysfunction and hydrocephaly can develop due to this disconnection. Presented here is a case of a disconnection of the ventricular catheter from the shunt valve, which passed between both lateral ventricles by free floating in the brain CT. The patient was operated on for hydrocephaly. The d...

Since Baskin et al. reported the first documented case of failure of a laparoscopically-induced ventriculoperitoneal shunt (VP) in 1998, the cerebrospinal fluid shunt has been generally considered a relative contraindication to laparoscopy. Although the literature is limited there is a small body of evidence indicating that it is safe to perform laparoscopic surgery on these patients with routi...

To cite: Thurlow PC, Somerville C, Rusnak WJ, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013201303 DESCRIPTION An asymptomatic middle-aged man presented for routine preoperative chest radiographs prior to the resection of a Masson’s tumour of the frontal sinus. The chest radiographs revealed a large anterior mediastinal mass (figure 1). A CTscan of th...

Thoracic complications are rare after shunt placement for drainage of cerebrospinal fluid to treat hydrocephalus. We report a case of a ventriculoperitoneal shunt catheter that migrated into the lung by passing through the liver and the diaphragm. To our knowledge, there is no previously published report of a ventriculoperitoneal shunt that has migrated into the lung by a transdiaphragmatic and...

Background and Aims: The insertion of ventriculoperitoneal (VP) and ventriculoatrial (VA) shunts is the first-line treatment of patients with hydrocephalus and normal-pressure hydrocephalus. The provision of a safety profile for shunting in the treatment of hydrocephalus patients is very important. This study aimed to determine the success rates and complications of VP and VA shunting in patien...

We report a case of ventriculoperitoneal (VP) shunt infection in a 3-year-old boy caused by the food-borne pathogen Listeria monocytogenes, subsequent to acute peritonitis. This unusual presentation of central nervous system (CNS) listeriosis underlines the ability of the bacteria to form and survive within biofilms on indwelling medical devices. Bacterial persistence may lead to treatment fail...

Richter hernia results from herniation of the antimesenteric wall of the bowel without compromising its lumen. Insidious onset and misleading symptoms lead to delay in diagnosis and a high mortality. We report a case of Richter hernia, after ventriculoperitoneal shunt placement which was later reduced and the defect closed laparoscopically.