A rare cause of vaginal foreign body: Ventriculoperitoneal shunt migration

Korulmaz, Ali; Alakaya, Mehmet; Kaya, Sadık; Hamzaoğlu, Vural; Tezol, Özlem; Arslanköylü, Ali Ertuğ

doi:10.4103/jpn.jpn_172_18

Cited by 4 publications

(11 citation statements)

References 2 publications

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“…A total 20 cases on the management of the above-mentioned complication were retrieved. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] A case was excluded from the review, due to the incomplete desired details. 31 A total of 19 cases were recruited for the systematic review and retrieved from the 18 manuscripts.…”

Section: Resultsmentioning

confidence: 99%

“…31 A total of 19 cases were recruited for the systematic review and retrieved from the 18 manuscripts. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Fifteen manuscripts are available in the English language. 13,14,[17][18][19][20][21][23][24][25][26][27][28][29][30] Three of the manuscripts are available in a language other than English.…”

Section: Resultsmentioning

confidence: 99%

“…[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Fifteen manuscripts are available in the English language. 13,14,[17][18][19][20][21][23][24][25][26][27][28][29][30] Three of the manuscripts are available in a language other than English. 15,16,22 The demographics and other clinical details of the 19 cases of trans-vaginal extrusion of the distal VPS catheter are provided in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…9-12 Extrusion of the distal VPS catheter through the vaginal orifice has also been reported but less frequent, and twenty such cases have been reported to date. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] A systematic literature review was performed for 19 such cases to highlight demographics, clinical characteristics, surgical interventions executed, complications, and the outcome. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

mentioning

confidence: 99%

“…[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] A systematic literature review was performed for 19 such cases to highlight demographics, clinical characteristics, surgical interventions executed, complications, and the outcome. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30]…”

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confidence: 99%

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Management of trans-vaginal extrusion of the distal ventriculoperitoneal shunt catheter: a systematic literature review from 1973 to 2021

Ghritlaharey

2021

Int J Res Med Sci

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Trans-vaginal extrusion of the distal ventriculoperitoneal shunt (VPS) catheter is a rare complication of VPS insertion done for the treatment of hydrocephalus. The primary purpose was to review the demographics. The secondary objectives were to review the clinical presentation, operative intervention executed, and outcome of the cases published on trans-vaginal extrusion of the distal VPS catheter. The literature and case reports were retrieved from 1973 to September 30, 2021. This literature review included (n=19) cases of the above-mentioned VPS complication. The mean age of 15 children at the time of diagnosis of the complication was 18.13 months and ranged from 2 to 72 months. For the entire case, the interval from the initial VPS insertion/VPS revision to the clinical diagnosis of complication ranged from 1 to 36 months, with a mean of 8.16 months. In three-fourth of the cases, it was detected within 6-months of the VPS implantation. Extrusion of the distal VPS catheter through the vagina was the chief complaint. Surgical procedures were performed in the following order of frequency (A) removal of the entire VPS catheter (n=14), and (B) removal of the distal/peritoneal VPS catheter (n=3). During the postoperative period, one of the children died. Extrusion of the distal VPS catheter through the vaginal orifice is a rare complication of VPS insertion. It occurred across all the age groups but was more common during early childhood. Three-fourth of them were treated by removal of the entire VPS catheter. For VPS revision, delayed re-VPS insertion was the preferred option.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Management of trans-vaginal extrusion of the distal ventriculoperitoneal shunt catheter: a systematic literature review from 1973 to 2021

Ghritlaharey

2021

Int J Res Med Sci

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Transvaginal Migration of Ventriculoperitoneal Shunts in Children: Review of Literature

et al. 2022

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Ventriculo-peritoneal shunt placement is the most commonly performed procedure for the treatment of hydrocephalus. The complication of migration of the distal ventriculo-peritoneal shunt is one of the many complications that occur after ventriculo-peritoneal shunt placement. The migration of the ventriculo-peritoneal shunt through the vagina is infrequently reported in children. The aim of this review is to help all the providers caring for children with ventriculo-peritoneal shunts to identify issues early when encountered with this complication and thus limit morbidity and mortality. We reviewed all cases of migration of ventriculo-peritoneal shunt through the vagina in children less than 18 years of age that were published in the literature using PubMed, Google Scholar, Web of Science, and Cochrane Library. A total of 11 articles met the eligibility criteria and were included in this review among the 93 articles obtained with title and abstract screening. Previous non-shunt-related abdominal operations and shunt revisions are consistent risk factors in all cases. We did not recognize specific approaches to catheter placement or management that could have prevented this complication. Ventriculitis necessitating shunt removal and therapies requiring additional procedures and prolonged hospitalization are the major consequences identified. Awareness of this unusual complication is very important among health care providers such as emergency care health providers who are likely to be the first to encounter these children on initial presentation.

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Ventriculoperitoneal shunt extrusion in pediatric patients, clinical patterns and therapeutic strategies: A scoping review

Atallah,

Badary,

Monib

et al. 2024

Surgical Neurology International

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Background: Ventriculoperitoneal shunts (VPSs) are frequently employed in neurosurgery to treat hydrocephalus, with a particular focus on pediatric patients. Although VPSs are commonly utilized, they are not exempt from difficulties, such as shunt extrusion. The main aim of this study is to enhance comprehension regarding the occurrence, causes contributing to, and consequences of VPS extrusion in pediatric patients. Methods: A comprehensive search approach was implemented, including electronic databases, including PubMed, Google Scholar, and Scopus, to locate pertinent articles published between January 1950 and May 2023. The utilization of keywords such as “ventriculoperitoneal shunt” and “extrusion,” “ventriculoperitoneal shunt” and “migration,” and “ventriculoperitoneal shunt” and “perforation” was employed. Data on patient demographics, underlying diseases, origin of extrusion, presenting symptoms, treatment, and follow-up were gathered. Statistical studies were conducted to identify potential risk factors connected with the occurrence of shunt extrusion. Results: A study analyzed 80 studies on 120 individuals with extruded VPS catheters. The majority of patients (55.8%) had symptoms such as cerebrospinal fluid leakage and irritation. Hydrocephalus was categorized into congenital (40%), obstructive (36.7%), and communicating (11.7%) groups. Catheter extrusion sites varied, with most from the anal or rectal site. Preoperative meningitis or peritonitis was present in 20% of patients. Treatments ranged from shunt removal to endoscopic third ventriculostomy, resulting in a 90% recovery rate, 1.7% mortality, and 5% follow-up loss. Conclusion: Extrusion of the distal catheter in VPSs is a critical medical situation that necessitates urgent surgical intervention. The presence of an infection raises the likelihood of complications; hence, it is vital to promptly address the issue through the administration of antibiotics and the replacement of the shunt. Timely intervention enhances results.

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A rare cause of vaginal foreign body: Ventriculoperitoneal shunt migration

Cited by 4 publications

References 2 publications

Management of trans-vaginal extrusion of the distal ventriculoperitoneal shunt catheter: a systematic literature review from 1973 to 2021

Management of trans-vaginal extrusion of the distal ventriculoperitoneal shunt catheter: a systematic literature review from 1973 to 2021

Transvaginal Migration of Ventriculoperitoneal Shunts in Children: Review of Literature

Ventriculoperitoneal shunt extrusion in pediatric patients, clinical patterns and therapeutic strategies: A scoping review

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