Ventriculoperitoneal shunt failure as a secondary complication of ovarian hyperstimulation syndrome. Case report.
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.
Lee
Gabriel Yin Foo
GY
Department of Neurosurgery, Royal Adelaide Hospital, South Australia, Australia.
Daniel
Roy T
RT
Jones
Nigel R
NR
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*