Migration of Ventriculoperitoneal Shunt to Uterus In A Child: A Case Report: A Case Report: Ventriculoperitoneal Shunt migration

Avantika Gupta; Akshaya Murali; Rajinder Kumar; Dilip Kumar Maurya; Anish Keepanasseril

doi:10.1016/j.jpag.2021.11.004

Migration of Ventriculoperitoneal Shunt to Uterus In A Child: A Case Report: A Case Report: Ventriculoperitoneal Shunt migration

Avantika Gupta^*, Akshaya Murali, Rajinder Kumar, Dilip Kumar Maurya, Anish Keepanasseril

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Background: A ventriculoperitoneal shunt (VPS) is usually placed inside the peritoneal cavity for cerebrospinal fluid drainage. Rarely, it can migrate to various pelvic visceral organs. Inside the pelvis, the distal end of the shunt can perforate anywhere from the uterus or adnexa to the vulva, and migration through the uterus is extremely rare. Case: A three-and-a-half-year-old girl presented with a cerebrospinal fluid leak through the vagina after uterine perforation by a VPS. The diagnosis was made with an ultrasound. Her symptoms resolved after revision surgery. Conclusion: In a patient with a VPS in situ, presenting with a watery fluid leak through the vagina, perforation of the fornix or uterus must always be kept in mind. Timely diagnosis and intervention can result in the prevention of complications.

Original language	English
Pages (from-to)	196-198
Number of pages	3
Journal	Journal of Pediatric and Adolescent Gynecology
Volume	35
Issue number	2
DOIs	https://doi.org/10.1016/j.jpag.2021.11.004
Publication status	Published - Nov 1 2021
Externally published	Yes

Keywords

Shunt migration
Uterine perforation
Ventriculoperitoneal shunt
Hydrocephalus/etiology
Reoperation
Humans
Child, Preschool
Vagina/surgery
Pelvis
Ventriculoperitoneal Shunt/adverse effects
Uterus/diagnostic imaging
Female
Child

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Obstetrics and Gynaecology

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10.1016/j.jpag.2021.11.004

Cite this

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title = "Migration of Ventriculoperitoneal Shunt to Uterus In A Child: A Case Report: A Case Report: Ventriculoperitoneal Shunt migration",

abstract = "Background: A ventriculoperitoneal shunt (VPS) is usually placed inside the peritoneal cavity for cerebrospinal fluid drainage. Rarely, it can migrate to various pelvic visceral organs. Inside the pelvis, the distal end of the shunt can perforate anywhere from the uterus or adnexa to the vulva, and migration through the uterus is extremely rare. Case: A three-and-a-half-year-old girl presented with a cerebrospinal fluid leak through the vagina after uterine perforation by a VPS. The diagnosis was made with an ultrasound. Her symptoms resolved after revision surgery. Conclusion: In a patient with a VPS in situ, presenting with a watery fluid leak through the vagina, perforation of the fornix or uterus must always be kept in mind. Timely diagnosis and intervention can result in the prevention of complications.",

keywords = "Shunt migration, Uterine perforation, Ventriculoperitoneal shunt, Hydrocephalus/etiology, Reoperation, Humans, Child, Preschool, Vagina/surgery, Pelvis, Ventriculoperitoneal Shunt/adverse effects, Uterus/diagnostic imaging, Female, Child",

author = "Avantika Gupta and Akshaya Murali and Rajinder Kumar and Maurya, {Dilip Kumar} and Anish Keepanasseril",

note = "Copyright {\textcopyright} 2021. Published by Elsevier Inc.",

year = "2021",

month = nov,

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doi = "10.1016/j.jpag.2021.11.004",

language = "English",

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T1 - Migration of Ventriculoperitoneal Shunt to Uterus In A Child: A Case Report

T2 - A Case Report: Ventriculoperitoneal Shunt migration

AU - Gupta, Avantika

AU - Murali, Akshaya

AU - Kumar, Rajinder

AU - Maurya, Dilip Kumar

AU - Keepanasseril, Anish

PY - 2021/11/1

Y1 - 2021/11/1

N2 - Background: A ventriculoperitoneal shunt (VPS) is usually placed inside the peritoneal cavity for cerebrospinal fluid drainage. Rarely, it can migrate to various pelvic visceral organs. Inside the pelvis, the distal end of the shunt can perforate anywhere from the uterus or adnexa to the vulva, and migration through the uterus is extremely rare. Case: A three-and-a-half-year-old girl presented with a cerebrospinal fluid leak through the vagina after uterine perforation by a VPS. The diagnosis was made with an ultrasound. Her symptoms resolved after revision surgery. Conclusion: In a patient with a VPS in situ, presenting with a watery fluid leak through the vagina, perforation of the fornix or uterus must always be kept in mind. Timely diagnosis and intervention can result in the prevention of complications.

AB - Background: A ventriculoperitoneal shunt (VPS) is usually placed inside the peritoneal cavity for cerebrospinal fluid drainage. Rarely, it can migrate to various pelvic visceral organs. Inside the pelvis, the distal end of the shunt can perforate anywhere from the uterus or adnexa to the vulva, and migration through the uterus is extremely rare. Case: A three-and-a-half-year-old girl presented with a cerebrospinal fluid leak through the vagina after uterine perforation by a VPS. The diagnosis was made with an ultrasound. Her symptoms resolved after revision surgery. Conclusion: In a patient with a VPS in situ, presenting with a watery fluid leak through the vagina, perforation of the fornix or uterus must always be kept in mind. Timely diagnosis and intervention can result in the prevention of complications.

KW - Shunt migration

KW - Uterine perforation

KW - Ventriculoperitoneal shunt

KW - Hydrocephalus/etiology

KW - Reoperation

KW - Humans

KW - Child, Preschool

KW - Vagina/surgery

KW - Pelvis

KW - Ventriculoperitoneal Shunt/adverse effects

KW - Uterus/diagnostic imaging

KW - Female

KW - Child

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SN - 1083-3188

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EP - 198

JO - Journal of Pediatric and Adolescent Gynecology

JF - Journal of Pediatric and Adolescent Gynecology

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Migration of Ventriculoperitoneal Shunt to Uterus In A Child: A Case Report: A Case Report: Ventriculoperitoneal Shunt migration

Abstract

Keywords

ASJC Scopus subject areas

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