title: Beware of the ventriculogallbladder shunt.
abstract: We report a case of distal end malfunction in a child with ventriculoabdominal shunt. The distal placement was in the gallbladder rather than the peritoneal cavity, as is usually the case with a ventriculoperitoneal shunt. Surgeons should be alerted to the possibility of distal terminus of a shunt to be other than the peritoneal cavity, as revision surgery in patients with ventriculogallbladder shunt requires exposure of the metal connector on the gallbladder wall to prevent biliary leakage.
authors.affiliation: Division of Neurosurgery, New Jersey Medical School, Newark 07013, USA.
authors.forename: V
authors.initials: V
authors.lastname: Rajaraman
authors.forename: R
authors.initials: R
authors.lastname: Schlenk
authors.forename: M
authors.initials: M
authors.lastname: Schulder
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000367:Age Factors; D002675:Child, Preschool; D005500:Follow-Up Studies; D005704:Gallbladder / Q000000981:diagnostic imaging; D006261:Headache / Q000209:etiology; D006801:Humans; D008297:Male; D011860:Radiography, Abdominal; D011877:Radionuclide Imaging; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects; D014839:Vomiting / Q000209:etiology