Türk Nöroşirürji Dergisi 2011 , Vol 21 , Num 3
Late Complication of Ventriculoperitoneal Shunt: Protrusion of Peritoneal Catheter Through the Anus in Four Cases
Mehmet Hakan SEYİTHANOĞLU1, Kazım DOĞAN2, Meliha GÜNDAĞ1, Serkan KİTİŞ1, Şeref ÖZTÜRK1, Tolga DÜNDAR1, Serdar ÇEVİK1
1Bezmialem Vakıf Üniveritesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, İstanbul, Türkiye
2Ardahan Devlet Hastanesi, Nöroşirürji Bölümü, Ardahan, Türkiye
Ventriculoperitoneal shunt (VPS) surgery is a standard method of treatment of hydrocephalus. Complications of this procedure are occlusion and separation of the catheter, accumulation of CSF, shunt infection, bowel obstruction, migration of the catheter, and intestinal and solid organ perforation. Colon perforation is a very rare complication and is seen in less than 0.1% of patients. Although infrequent, this delayed complication can be fatal if it goes unrecognized. The time between shunt insertion and anal protrusion ranged from 2 months to 7 years. In this study, spontaneous protrusions of the peritoneal end of the VPS through the anus after VPS surgery are reported in four children with hydrocephalus. Anahtar Kelimeler : Intestinal perforation, Hydrocephalus, Ventriculoperitoneal shunt