A Case of Straying of a Ventriculo-peritoneal Shunt Tube into the Intestinal Tract

Naito Nobuhiro, Kitayama Kishu, Fukuoka Tatsunari, Sasaki Maho, Iseki Yasuhito, Kasashima Hiroaki, Shibutani Masatsune, Maeda Kiyoshi

doi:10.11231/jaem.43.949

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脳室腹腔シャントチューブが腸管内に迷入した1例
ノウシツフクコウシャントチューブガチョウカンナイニメイニュウシタ 1レイ

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<p>The patient was a 39-year-old woman who had undergone ventriculo-peritoneal shunt implantation following surgery for multiple myeloma. She was brought to our hospital with a history of fever and impaired consciousness. Computed tomography (CT) of the head showed ventricular dilatation on the left side, and abdominal CT showed accidental migration of the ventriculo-peritoneal (VP) catheter into the small intestine. We performed ventricular drainage and examination of cerebrospinal fluid revealed signs of bacterial meningitis. We considered that the fever was due to meningitis caused by retrograde infection via the VP shunt. We treated the patient by removing the VP shunt tube on the ventricular side, fixing the VP shunt tube on the abdominal side to the abdominal wall, and creating a fistula. Two weeks later, after confirming that only the fistula was visible, the tube was removed. Perforation of the VP shunt tube through the gastrointestinal tract is a rare complication. In our case, exosomy was considered to be an effective treatment to avoid surgery under general anesthesia.</p>

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Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)

Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 43 (6), 949-953, 2023-09-30

A Case of Straying of a Ventriculo-peritoneal Shunt Tube into the Intestinal Tract

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