Transanal protrusion of ventriculoperitoneal shunt reflecting asymptomatic perforation of the large bowel.
Perforation into the gastrointestinal tract is a rare complication of ventriculoperitoneal shunt insertion. We present a case of transanal protrusion of the shunt catheter in an otherwise asymptomatic patient, with only transient signs of shunt failure some 2 months prior to presentation, and discuss treatment options to rationalise our decision to treat with laparotomy and preservation of the shunt.
Department of Upper GI Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK.
Nicholas Russell
NR
Plummer
Department of Radiology, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK.
Ajay
A
Tokala
Department of Upper GI Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Preston, Lancashire, UK Department of Medicine, University of Manchester, Manchester, UK.
Ravindra S
RS
Date
D000328:Adult; D001003:Anal Canal; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007420:Intestine, Large / Q000293:injuries* / Q000601:surgery; D007813:Laparotomy; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*