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Peritoneal catheter knot formation in ventriculoperitoneal shunting: an intraoperative artificial phenomenon?

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Abstract

Background

Peritoneal catheter knot formation is a rare complication associated with ventriculoperitoneal shunting. In most reports, the knot formation was also considered to be the cause of shunt malfunction.

Discussion

In this study, we demonstrate the possible misinterpretation of peritoneal catheter knot formation in ventriculoperitoneal shunting. We found a knot in the peritoneal catheter intraoperatively, while no knot was noted on the abdominal X-ray taken 1 day prior to the operation. Our findings indicate that the knot had actually formed intraoperatively. This case suggests that we should not immediately conclude that a knot is the cause of shunt malfunction in such an operation.

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Acknowledgments

We thank Angela Morben, DVM, ELS, from Edanz Group (www.edanzediting.com/ac) for editing a draft of this manuscript.

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Author notes

  1. Yusuke S. Hori and Yuki Ebisudani contributed equally to this work.

Authors and Affiliations

  1. Department of Neurological Surgery, National Hospital Organization Okayama Medical Center, Tamasu 1711-1, Kita-ku, Okayama, 701-1192, Japan

    Yusuke S. Hori, Yuki Ebisudani, Mizuho Aoi & Toru Fukuhara

  2. Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Michiari Umakoshi

Authors
  1. Yusuke S. Hori
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  2. Yuki Ebisudani
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  3. Michiari Umakoshi
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  4. Mizuho Aoi
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  5. Toru Fukuhara
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Corresponding author

Correspondence to Yusuke S. Hori.

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The authors declare that they have no conflict of interest.

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Hori, Y.S., Ebisudani, Y., Umakoshi, M. et al. Peritoneal catheter knot formation in ventriculoperitoneal shunting: an intraoperative artificial phenomenon?. Childs Nerv Syst 34, 31–33 (2018). https://doi.org/10.1007/s00381-017-3649-x

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  • DOI: https://doi.org/10.1007/s00381-017-3649-x

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