title: Urethral extrusion of a peritoneal catheter in a patient with a neobladder: a rare complication of shunt insertion.
abstract: The insertion of a ventriculoperitoneal shunt (VPS) is considered the standard of care for several forms of hydrocephalus. Abdominal complications are most common with this procedure, comprising up to 30% of all shunt-related problems. Conversely, visceral perforation or extrusion of the shunt apparatus is rare. Herein we report a rare complication of VPS insertion in which the peritoneal catheter was spontaneously extruded through the urethra of a patient with a neobladder. We further discuss the pathogenesis, diagnosis, and treatment of this condition.
authors: State University of Rio de Janeiro, Department of Surgical Specialties, Division of Neurosurgery, Pedro Ernesto University Hospital, Rio de Janeiro, Brazil. guilhermebraguiar@yahoo.com.br
authors: G B
authors: GB
authors: de Aguiar
authors: C
authors: C
authors: Mizrahi
authors: J H W
authors: JH
authors: Aquino
authors: C M
authors: CM
authors: Tavares
authors: C
authors: C
authors: Telles
authors: F
authors: F
authors: Nigri
authors: M A
authors: MA
authors: Acioly
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D010529:Peritoneal Cavity / Q000601:surgery*; D011183:Postoperative Complications; D011475:Prosthesis Failure; D014521:Urethra; D017287:Ventriculoperitoneal Shunt