Cystoscopic Removal of Migrated Ventriculoperitoneal Shunt Tube: A Case Report with Short Review

• Main Authors: T. P. Jeyaselvasenthilkumar, Mohan Sampathkumar, C. Sekar, Mohammad Abith Ali, Y. Premchand
• Format: Article
• Language: English
• Published: Thieme Medical Publishers, Inc. 2016-06-01
• Series: Indian Journal of Neurosurgery
• Subjects: shunt; bladder; perforation
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1581980

Abstract Hydrocephalus is most commonly treated by ventriculoperitoneal (VP) shunt surgery. The distal end of the VP shunt is commonly placed in the peritoneal cavity. Various complications of the distal end of the shunt have been described in the literature. Migration of the distal end of the shunt tube into the bladder is an extremely rare complication of VP shunt surgery. Only three cases of erosive bladder perforation by a peritoneal catheter have been documented so far in the literature. We report an unusual case of perforation of the distal end of the VP shunt into the bladder with encrustation at the tip. Cystoscopic removal of the migrated distal end of the shunt tube is performed. Cystoscopic removal is simple and avoids the complications of cystostomy. The various other complications are shortly reviewed.