Case report of mesenteric strangulation secondary to longstanding ventriculoperitoneal shunt catheter

The shadow in the darkness: Case report on adhesive intestinal obstruction secondary to ventriculoperitoneal shunt catheter in an elderly patient

“…Moreover, in our patient, it was agreed that the catheter would be placed back into the abdominal cavity upon full recovery, a decision consistent with the successful reports from preceding cases [ 1 , 17 ]. Besides, externalization of the abdominal segment of the shunt catheter for continuous drainage has been associated with the prevention of retrograde infection of the central nervous system [ 1 ].…”

“…Correspondingly, Grant and colleagues externalized a pediatric patient's intraabdominal shunt catheter following bowel resection for obstruction from the catheter. The latter procedure was associated with good recovery of the patient [ 17 ].…”

Bowel Obstruction Secondary to Spontaneous Knot Formation of Ventriculoperitoneal Shunt

“…Ventriculoperitoneal (VP) shunt placement is crucial for the management of hydrocephalus in the pediatric and adult populations [1,2]. Although it is a common neurosurgical procedure, there are numerous complications associated with shunt placements.…”

“…The most common complications are infection and shunt malfunction from an obstruction [3,4]. The distal portion of shunts can also migrate into the heart, scrotum, and bowel and can cause bowel perforation as well as distal catheter entrapment [1,4,5]. Despite the routine use of VP shunts, the most common complications involving the abdomen include ascites due to cerebrospinal fluid (CSF) leaks, hydrocele formation, infection, shunt migration and extrusion, and formation of loculated cysts [2].…”