Spontaneous extrusion of the peritoneal catheter through the intact abdominal wall: report of two cases

Introduction: Ventriculoperitoneal shunt (VPS) is a neurosurgical intervention widely used in the control and treatment of hydrocephalus. The migration of the peritoneal catheter through the abdominal wall is an uncommon complication and its pathophysiology is unknown. Patients and Methods: Two case...

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Published inArchives of pediatric neurosurgery Vol. 3; no. 2(May-August); p. e802021
Main Authors Umberto Pereira, Carlos, Ferreira Kalkmann, Gabriela, De Aquino, Humberto Belém
Format Journal Article
LanguageEnglish
Published Brazilian Society for Pediatric Neurosurgery 01.05.2021
Subjects
abdominal wall
complications
hydrocephalus
ventriculoperitoneal shunt
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Summary:Introduction: Ventriculoperitoneal shunt (VPS) is a neurosurgical intervention widely used in the control and treatment of hydrocephalus. The migration of the peritoneal catheter through the abdominal wall is an uncommon complication and its pathophysiology is unknown. Patients and Methods: Two cases of the peritoneal catheter extrusion through the abdominal wall are reported in patients with congenital hydrocephalus. Results: Were discovered after removal of the bypass system and systemic antibiotic therapy, followed by replacement of new bypass, with excellent results. Conclusion: In the presence of this complication, surgical treatment is indicated, through complete removal of the system, systemic antibiotic therapy and subsequent replacement of a new system.
ISSN:2675-3626
2675-3626
DOI:10.46900/apn.v3i2(May-August).80