title: Ventriculoperitoneal shunt failure as a secondary complication of ovarian hyperstimulation syndrome. Case report.
abstract: The authors report on a patient who presented with shunt failure due to ovarian hyperstimulation syndrome (OHSS) following in vitro fertilization treatment. Shunt dysfunction was attributed to intraabdominal hypertension as a consequence of ascites. At surgery, the shunt was found to be patent. The peritoneal catheter was externalized and subsequently revised to become a ventriculoatrial shunt system. This led to clinical improvement in the patient and restoration of ventricular size. Such a shunt complication has not previously been reported. Neurosurgeons should be alerted to this possibility in view of the increasing use of assisted conception in many developed countries.
authors.affiliation: Department of Neurosurgery, Royal Adelaide Hospital, South Australia, Australia.
authors.forename: Gabriel Yin Foo
authors.initials: GY
authors.lastname: Lee
authors.forename: Roy T
authors.initials: RT
authors.lastname: Daniel
authors.forename: Nigel R
authors.initials: NR
authors.lastname: Jones
mesh_terms: D000328:Adult; D001201:Ascites / Q000209:etiology; D005260:Female; D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D006849:Hydrocephalus / Q000628:therapy*; D016471:Ovarian Hyperstimulation Syndrome / Q000150:complications*; D017211:Treatment Failure; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*