title: Incisional Hernia Following Ventriculoperitoneal Shunt Positioning.
abstract: Incisional hernia represents a rare complication after ventriculoperitoneal shunt positioning due to failure of the fascial suture in the site of abdominal entrance of ventriculoperitoneal catheter. Clinical presentation can be extremely variable, according to patient's performance status, herniated material constitution (i.e. mesenteric fat, bowel loops or both) and complication occurrence (e.g. strangulation or intestinal obstruction). Early diagnosis is fundamental in order to surgically repair the defect and prevent further complications. We present the case of a paucisymptomatic incisional hernia following ventriculoperitoneal shunt positioning. Diagnosis was made by means of ultrasound and confirmed by means of computed tomography. The patient was successfully managed by means of surgical repositioning of herniated loop and re-suture.
authors.affiliation: Department of Radiology, Bolzano Central Hospital, Bolzano, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Bonatti
authors.affiliation: Department of Radiology, Bolzano Central Hospital, Bolzano, Italy.
authors.forename: Norberto
authors.initials: N
authors.lastname: Vezzali
authors.affiliation: Department of Surgery, Bolzano Central Hospital, Bolzano, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Frena
authors.affiliation: Department of Radiology, Bolzano Central Hospital, Bolzano, Italy.
authors.forename: Giampietro
authors.initials: G
authors.lastname: Bonatti
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D006801:Humans; D000069290:Incisional Hernia / Q000000981:diagnostic imaging* / Q000209:etiology*; D008297:Male; D012086:Reoperation; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
keywords: CT; Sonography; US; Ultrasonography; Ventriculoperitoneal shunt; X-ray; abdomen; hydrocephalus; incisional hernia; shunt dislocation