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Laparoscopic Retrieval of Migrated Ventriculoperitoneal Shunt for Hydrocephalus into Peritoneal Cavity: A Case Report and Review of LiteratureLaparoscopic Retrieval of Migrated Ventriculoperitoneal Shunt for Hydrocephalus into Peritoneal Cavity: A Case Re

Rajender Kumar Batra , Rajender Kumar Batra , Gauri Joshi

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New Indian Journal of Surgery 4(1):p 11-13, January - June 2013. | DOI:

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Abstract

Ventriculoperitoneal (VP) shunt is very effective and commonly used procedure for treating hydrocephalus. The complications of VP shunt are many, and one of these is intraperitoneal migration of catheter. In our case it was a 55 years male patient, who sustained road side accident two years ago. He was operated for temporal contusion at a different hospital. Evacuation of the hematoma was performed but he remained in disoriented state and required assistance in his routine activities. Almost three months after the injury, VP shunt was performed for hydrocephalus on follow up CT Scans. A revision of the shunt was performed at 2 months and the chamber of previous shunt was removed. Patient improved and subsequent CT scans over next one and a half years showed decompression of the ventricles. Two weeks ago, patient presented at our hospital in a drowsy condition of 2 day duration. CT scan of the brain showed shunt tube in situ but enlarged ventricles. Clinically shunt tube was not palpable along the tract. X-ray of the abdomen performed after revision of VP shunt showed shunt lying in the pelvis. The shunt was removed by laparoscopic surgery from pelvic region, there was no injury to any intraabdominal organ on laparoscopy. So, dangerous complications of migration of VP shunt were averted by early intervention with least invasive methods.

 

Keywords: Ventriculoperitoneal shunt; Laparoscopic surgery; Hydrocephalus.

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