title: Asymptomatic bowel perforation by abandoned ventriculoperitoneal shunt.
abstract: We report a case of an abandoned abdominal ventriculoperitoneal shunt that migrated into the gastric antrum, colonic hepatic flexure, and liver parenchyma, which was discovered incidentally on an abdominal CT obtained for renal stones. In regards to the migrated abandoned VP shunt, the patient was asymptomatic. Upon review of prior CT scans, these findings had progressed over approximately 7 years. We describe the case and discuss the clinical and radiologic findings, complications resulting from ventriculoperitoneal shunts, and possible approaches to their management.
authors.affiliation: Department of Radiology, Henry Ford Hospital, Detroit, USA.
authors.forename: Eric K
authors.initials: EK
authors.lastname: Rinker
authors.affiliation: Department of Radiology, Henry Ford Hospital, Detroit, USA.
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Osborn
authors.affiliation: Department of Radiology, Henry Ford Hospital, Detroit, USA.
authors.forename: Todd R
authors.initials: TR
authors.lastname: Williams
authors.affiliation: Department of Radiology, Henry Ford Hospital, Detroit, USA.
authors.forename: David L
authors.initials: DL
authors.lastname: Spizarny
mesh_terms: D000328:Adult; D058070:Asymptomatic Diseases; D003106:Colon / Q000000981:diagnostic imaging / Q000293:injuries*; D003108:Colonic Diseases / Q000209:etiology; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008099:Liver / Q000000981:diagnostic imaging / Q000293:injuries*; D008107:Liver Diseases / Q000209:etiology; D008297:Male; D013270:Stomach / Q000000981:diagnostic imaging / Q000293:injuries; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
keywords: Ventriculoperitoneal shunt; abandoned; asymptomatic; bowel; colon; disconnected; intestine; liver; migrate; migration; orphaned; perforation; stomach