Spontaneous extrusion of ventriculoperitoneal catheter through anterolateral chest wall: a case report and review of literature

Ondari J1 MBCh.B, MCS (ECSA), Oduor Peter2, MBCh.B, MMed(Surg). 1. Surgery resident, University of Nairobi. 2. Department of Surgery, Egerton University

Correspondence to Ondari N.J P.O Box 15564-20100 Nakuru, E-mail:ondarijoshua@yahoo.com

 

Summary

Ventriculo-peritoneal shunting is the commonest surgery for management of hydrocephalus. However, about 80% develop complications in their lifetime. These include common ones like shunt blockage and infection, to rare ones like shunt migration, extrusion and perforation of viscus. The authors present a rare case of shunt extrusion through the chest wall of an 8 year old male. The shunt was inserted 3years earlier for post-meningitic hydrocephalus. Clinical Examination revealed extrusion of the peritoneal end of the shunt at the level of the 6th rib with cloudy CSF dripping from the tube. A chest radiograph done outlined the shunt. This is an unusual extrusion of a peritoneal shunt and literature search did not reveal any papers with a similar case in the region. We hope clinicians will always be wary of these rare complications for early recognition to improve outcome.

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ISSN (print): 1999-9674; ISSN (online): 2523-0816

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