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Review Case Reports
Transoral protrusion of a Ventriculoperitoneal catheter due to jejunal perforation in an Adult: Rare case report and review of the literature.
- Vincent Feeney, Naufel Ansar, Beth Donaldson-Hugh, and Andrew F Alalade.
- Department of Neurosurgery, Royal Preston Hospital, Preston, United Kingdom.
- World Neurosurg. 2020 May 1; 137: 200-205.
BackgroundAlthough several complications after ventriculoperitoneal shunting (VPS) have been reported, transoral protrusion of a peritoneal catheter is a rare event. In the few reported cases from the literature, it is more common in pediatric patients. This case report describes the first adult in the literature with a transoral VPS protrusion after jejunal perforation.Case DescriptionA 58-year-old man with posttraumatic hydrocephalus was noted with the distal tubing of the VPS protruding from his mouth after he vomited. Radiologic imaging showed jejunal perforation of the distal part of the VPS. The VPS was initially externalized, and then removed. The patient remained stable.ConclusionsWe present a rare case of transoral protrusion of a peritoneal catheter 11 months after a VPS procedure and review of the literature through this article.Crown Copyright © 2020. Published by Elsevier Inc. All rights reserved.
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