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- Yung Chan, Narendra N Datta, Kwong Yau Chan, Safi Ur Rehman, Christopher Y F Poon, and John C K Kwok.
- Department of Neurosurgery, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong, ROC.
- Surg Neurol. 2003 Jul 1; 60 (1): 68-9; discussion 70.
BackgroundA variety of complications can occur following ventriculoperitoneal shunt. We report a case of extrusion of the catheter tip through the old scar of the percutaneous endoscopic gastrostomy (PEG) wound.Case DescriptionA 70-year-old male suffered from an intracerebral hemorrhage and then developed hydrocephalus. He required a ventriculoperitoneal shunt. This patient required a PEG for gastroenteric feeding. The PEG was removed 4 years after the insertion because of infection. The tip of the distal shunt tube extruded through the scar of the PEG wound 2 years later.ConclusionThe catheter end of VP shunt can extrude through the weak point of an old PEG scar. This kind of complication should be brought to mind while performing abdominal surgery in patients with VP shunts.
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