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Perforation of the Bladder by a Peritoneal Catheter : an unusual late complication of ventriculo-peritoneal shunt Yuji UEDA 1 , Shunsuke KAKINO 1 , Osamu HASHIMOTO 2 , Katsuhiko IMOTO 2 1Department of Neurosurgery, Ogori Daiichi General Hospital 2Department of Urology, Ogori Daiichi General Hospital Keyword: ventriculo-peritoneal shunt , complication , bladder perforation pp.413-416
Published Date 1998/5/10
DOI https://doi.org/10.11477/mf.1436901566
  • Abstract
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Late perforation of the bladder by an abdominal catheter of a ventriculoperitoneal (VP) shunt is ex-tremely rare. We report the successful treatment of a patient who presented with this complication. An 82-year-old woman received a V-P shunt for normal pressure hydrocephalus following subarachnoid hemor-rhage. Ten years later she was admitted to our hospital with neck pain. A few days after admission, the tipof the peritoneal catheter was found to be protruding from the urethra during urination. Subsequently, thepatient developed meningitis. Contrast study of the distal tubing demonstrated the continuity of the peri-toneal shunt tube. After the entire system was removed, antibiotic treatment was administered for 2 weeks,and a new VP shunt was placed on the opposite side. The post-operative course was uneventful.

Previous reports regarding complications after the placement of a VP-shunt show that periodic chest andabdominal X-ray studies are important. In this case, however, the peritoneal tube was not able to beobserved on abdominal plain film. For this reason, an unfaded radiopaque tube is necessary if there is to beearly diagnosis of late organic perforation by a peritoneal shunt tube.


Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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