Two unusual complications of ventriculo-peritoneal shunts. Report of two cases

Abstract

Two cases in which thoracal extrusion and cervical disconnection complicated ventriculo-peritoneal shunts are reported. Other complications of distal shunts are also reviewed.

An Unusual Case of Cerebrospinal Fluid Pseudocyst in a Previously Augmented Breast

“…[5][6][7][8] The etiology of the collections in those cases was attributed to either direct leak from the catheter or a retrograde flow from an abdominal pseudocyst (itself caused by the catheter). This case demonstrates, for the first time, a VP shunt complication in a breast that had previously undergone saline implant augmentation.…”

Breast-Related CSF Shunt Complications: Literature Review with Illustrative Case

“…Less common in VP shunts are complications related to the thoracic tubing. (2–9) Breast‐related complications represent a class of thoracic VP shunt complications and are characterized by one or more of the following features: breast CSF pseudocyst, shunt migration, CSF “galactorrhoea”, and shunt obstruction (10–24). The Table 1 lists the reported cases of breast‐related shunt complications with associated features.…”

“…Most problems occur proximally involving the intraventricular catheter, or distally involving the peritoneal end. Complications involving the thoracic segment of tubing are relatively rare, but well described (2–9). A new class of thoracic complication has emerged in female patients with breast implants (10–16).…”

Aggressive angiomyxoma of the female pelvis: sonographic, CT, and MR findings.

“…A 3 x 4 cm submucosalgastric mass of EMH tissue was reported in a patient with chronic myeloge nous leukemia [3]. Another patient had EMH infiltrations in the stomach at autopsy.In that patient, the results of an upper gastrointestinal serieshadbeennormal [4].…”