Transoral migration of peritoneal end of ventriculoperitoneal shunt with perforation of gastro-esophageal junction: a case report of a rare complication

Authors

  • Rahul Gupta SPMCHI, SMS Hospital, Jaipur, Rajasthan
  • Tariq Ahmed Mala ASCOMS and Hospital, Jammu (J&K)
  • Atul Gupta SPMCHI, SMS Hospital, Jaipur, Rajasthan
  • Rozy Paul Jaipur, Rajasthan
  • Shahaid Amin Malla SS Medical College, Rewa (MP)
  • Arun Kumar Gupta SPMCHI, SMS Hospital, Jaipur, Rajasthan

DOI:

https://doi.org/10.3329/bjms.v13i4.20654

Keywords:

migration, peritoneal end, transoral, oral extrusion, gastro-esophageal junction, hydrocephalus, ventriculoperitoneal shunt

Abstract

A rare complication of ventriculoperitoneal (VP) shunt is presented. A 11-year old boy presented with a tube coming out of the mouth. He had multiple VP shunt done earlier. Clinical features, laboratory investigations and imaging studies showed that the peritoneal end had perforated the gastro-oesophageal junction and then prolapsed trans-orally. The shunt was removed and he made an uneventful recovery. Though migration of the peritoneal end of the shunt tube into various organs is known, to our knowledge, only six/seven cases have been reported in the English literature of a shunt tube coming out of the mouth and this is the next. The management of this very rare problem is discussed.

DOI: http://dx.doi.org/10.3329/bjms.v13i4.20654

Bangladesh Journal of Medical Science Vol.13(4) 2014 p.492-495

Downloads

Download data is not yet available.
Abstract
276
PDF
135

Author Biographies

Rahul Gupta, SPMCHI, SMS Hospital, Jaipur, Rajasthan

Resident, Paediatric Surgery, Department of Paediatric Surgery

Tariq Ahmed Mala, ASCOMS and Hospital, Jammu (J&K)

Postgraduate, Department of Surgery

Atul Gupta, SPMCHI, SMS Hospital, Jaipur, Rajasthan

Resident, Paediatric Surgery, Department of Paediatric Surgery

Rozy Paul, Jaipur, Rajasthan

Medical Officer

Arun Kumar Gupta, SPMCHI, SMS Hospital, Jaipur, Rajasthan

Professor, Paediatric Surgery (MCh Paediatric Surgery), Department of Paediatric Surgery

Downloads

Published

2014-10-17

How to Cite

Gupta, R., Mala, T. A., Gupta, A., Paul, R., Malla, S. A., & Gupta, A. K. (2014). Transoral migration of peritoneal end of ventriculoperitoneal shunt with perforation of gastro-esophageal junction: a case report of a rare complication. Bangladesh Journal of Medical Science, 13(4), 492–495. https://doi.org/10.3329/bjms.v13i4.20654

Issue

Vol. 13 No. 4 (2014)

Section

Case Reports

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.