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Laparoscopic management of associated abdominal complications of ventriculoperitoneal shunt: case report

Laparoskopische Therapie einer Bauchkomplikation durch einen ventrikuloperitonealen Shunt: ein Fallbericht

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Zusammenfassung

GRUNDLAGEN: In 5–47 % der Fälle kommt es nach ventrikuloperitonealem Shunt zu abdominellen Komplikationen. Eine seltene Komplikation ist die abdominelle zerebrospinale Flüssigkeits-Pseudozyste, die meist bei Kindern vorkommt. Abdominale Pseudozysten und intraabdominelle Katheter-Migration sind bei Erwachsenen selten. Obstruktion des Shunts führt zu erhöhtem Hirndruck und bedarf einer sofortigen Intervention. METHODIK: Fallbericht. ERGEBNISSE: Wir berichten über das erfolgreiche Management einer 20-jährigen Frau, die eine solche Pseudozyste mit Migration des abgebrochenen Katheters in die Bauchhöhle 9 Jahre nach Hydrozephalus-Therapie entwickelte. SCHLUSSFOLGERUNGEN: Laparoskopisch kann die abdominelle Komplikation eines solchen Shunts gut therapiert werden.

Summary

BACKGROUND: Abdominal complications after ventriculoperitoneal (VP) shunt placement are reported in 5–47% of cases. Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication of a VP shunt, the majority being reported in children. Abdominal pseudocysts and intra-abdominal catheter migration are rare in adult patients. Ventriculoperitoneal shunt obstruction or malfunction results in elevated intracranial pressure, representing an indication for immediate intervention. METHODS: Case report. RESULTS: The authors report a case of successful laparoscopic management in a 20-year-old female patient who developed CSF pseudocyst combined with migration of the fractured catheter in the abdominal cavity nine years after VP shunting for hydrocephalus. CONCLUSIONS: Laparoscopic approach is a safe and useful treatment modality for combined peritoneal complications of VP shunt.

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Authors and Affiliations

  1. First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, Emergency Municipal Hospital, Medical University "N.Testemitsanu", Kishinev, Moldova

    G. Ghidirim, I. Mishin, G. Zastavnitsky, V. Spataru & M. Brinza

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  1. G. Ghidirim
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  2. I. Mishin
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  3. G. Zastavnitsky
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  4. V. Spataru
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  5. M. Brinza
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Correspondence to I. Mishin.

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Ghidirim, G., Mishin, I., Zastavnitsky, G. et al. Laparoscopic management of associated abdominal complications of ventriculoperitoneal shunt: case report. Eur Surg 42, 184–186 (2010). https://doi.org/10.1007/s10353-010-0543-0

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