Transoral extrusion of ventriculoperitoneal shunt distal segment: A case report of very rare complication

Seare Halefom Kahsay , Samson Yibalih Gebregergisse , Yirgalem Teklebirhan Gereziher , Berihu Tadishu Gebre
{"title":"Transoral extrusion of ventriculoperitoneal shunt distal segment: A case report of very rare complication","authors":"Seare Halefom Kahsay ,&nbsp;Samson Yibalih Gebregergisse ,&nbsp;Yirgalem Teklebirhan Gereziher ,&nbsp;Berihu Tadishu Gebre","doi":"10.1016/j.inat.2025.102010","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Ventriculoperitoneal shunts (VPS) are a widely utilized neurosurgical intervention for managing hydrocephalus of diverse etiologies. While generally a safe and well-established treatment approach, VPS procedures are not without potential complications. The most frequently reported issues include infection, obstruction, disconnection or fracture of the shunt hardware, as well as skin erosion and overdrainage and tip migration. Migration of VPS tip through various body cavities and openings is a rare but serious complication. Transoral extrusion of the distal segment of a VPS is an exceedingly uncommon complication with only 43 case reports in the literature.</div></div><div><h3>Observation</h3><div>We report a case of 2-year-old male pediatric patient presented with the extrusion of VPS distal tip through the oral cavity. The patient underwent thorough investigation including shunt series. The patient was optimized and empiric broad-spectrum antibiotic administration and was subsequently taken to the operating room for shunt revision. The patient had favorable surgical outcome.</div></div><div><h3>Conclusion</h3><div>Transoral migration of the distal VPS component is an uncommon yet serious complication following VPS placement. This complication is primarily observed in pediatric patients within the first year after the initial VPS procedure. Most instances can be addressed by removing the distal segment, either through the oral cavity or the abdomen. Subsequent management involves monitoring the patient for signs of peritonitis, central nervous system infection, and progression of the underlying hydrocephalus. Prompt antibiotic treatment is required for any identified infections, and the hydrocephalus is managed by either inserting a new VPS or replacing only the distal segment.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102010"},"PeriodicalIF":0.4000,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214751925000222","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Ventriculoperitoneal shunts (VPS) are a widely utilized neurosurgical intervention for managing hydrocephalus of diverse etiologies. While generally a safe and well-established treatment approach, VPS procedures are not without potential complications. The most frequently reported issues include infection, obstruction, disconnection or fracture of the shunt hardware, as well as skin erosion and overdrainage and tip migration. Migration of VPS tip through various body cavities and openings is a rare but serious complication. Transoral extrusion of the distal segment of a VPS is an exceedingly uncommon complication with only 43 case reports in the literature.

Observation

We report a case of 2-year-old male pediatric patient presented with the extrusion of VPS distal tip through the oral cavity. The patient underwent thorough investigation including shunt series. The patient was optimized and empiric broad-spectrum antibiotic administration and was subsequently taken to the operating room for shunt revision. The patient had favorable surgical outcome.

Conclusion

Transoral migration of the distal VPS component is an uncommon yet serious complication following VPS placement. This complication is primarily observed in pediatric patients within the first year after the initial VPS procedure. Most instances can be addressed by removing the distal segment, either through the oral cavity or the abdomen. Subsequent management involves monitoring the patient for signs of peritonitis, central nervous system infection, and progression of the underlying hydrocephalus. Prompt antibiotic treatment is required for any identified infections, and the hydrocephalus is managed by either inserting a new VPS or replacing only the distal segment.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
1.00
自引率
0.00%
发文量
236
审稿时长
15 weeks
期刊最新文献
Transoral extrusion of ventriculoperitoneal shunt distal segment: A case report of very rare complication Posttraumatic spinal cord herniation: A case report Awake craniotomy versus general anesthesia for resection of intra-axial brain tumors: A systematic review and meta-analysis The significance of admission CD4 count in HIV positive patients with a spontaneous intracerebral hematoma – A prospective cohort study Micro-drill craniostomy and perioperative treatment for chronic subdural hematoma: A single-center experience
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1