Upward Migration of a Peritoneal Catheter Following Ventriculoperitoneal Shunt.
10.3340/jkns.2013.53.6.383
- Author:
Kyung Rae CHO
1
;
Je Young YEON
;
Hyung Jin SHIN
Author Information
1. Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. shinhj@skku.edu
- Publication Type:Case Report
- Keywords:
Ventriculoperitoneal shunt;
Migration;
Distal catheter;
Windlass effect
- MeSH:
Catheters;
Hemorrhage;
Humans;
Hydrocephalus;
Infant;
Parturition;
Peritoneal Cavity;
Scalp;
Ventriculoperitoneal Shunt
- From:Journal of Korean Neurosurgical Society
2013;53(6):383-385
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present an unusual case of peritoneal catheter migration following a ventriculoperitoneal shunt operation. A 7-month-old infant, who had suffered from intraventricular hemorrhage at birth, was shunted for progressive hydrocephalus. The peritoneal catheter, connected to an 'ultra small, low pressure valve system' (Strata(R); PS Medical,Gola, CA, USA) at the subgaleal space, was placed into the peritoneal cavity about 30 cm in length. The patient returned to our hospital due to scalp swelling 21 days after the surgery. Simple X-ray images revealed total upward migration and coiling of the peritoneal catheter around the valve. Possible mechanisms leading to proximal upward migration of a peritoneal catheter are discussed.
