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Acta Chirurgica Croatica, Vol. 18 No. 1, 2021.

Case report

https://doi.org/10.5281/zenodo.5501485

A rare case of colon perforation complicating a vetriculoperitoneal shunt with trans-anal protrusion

Asmir Jonuzi orcid id orcid.org/0000-0002-5637-9510 ; Clinic of Pediatric surgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Sadeta Begic ; Clinic of Pediatric surgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Zlatan Zvizdic ; Clinic of Pediatric surgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Kenan Karavdic ; Clinic of Pediatric surgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Nusret Popovic ; Clinic of Pediatric surgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Emir Milisic ; Clinic of Pediatric surgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Amira Mesic ; Clinic for Anaesthesiology and Reanimation, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Verica Misanovic ; Pediatric Intensive Care Department, Pediatric Clinic, Clinical Center University in Sarajevo, Bosnia and Herzegovina
Ibrahim Omerhodzic ; Clinic of Neurosurgery, Clinical Center University in Sarajevo, Bosnia and Herzegovina

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Abstract

Background: Ventriculoperitoneal (VP) shunt placement is an effective treatment of hydrocephalus diverting the cerebrospinal fluid into the peritoneal cavity. Colon perforation and spontaneous extrusion of the lower end of the tube through the anal opening is a rare and unusual complication of the ventriculoperitoneal shunt.

Case study: We report a case of 11 years old girl with the shunt tubing protruding through the anus associated with spontaneous colon perforation. This complication occurred 10 years following insertion of ventriculoperitoneal shunt for congenital hydrocephalus. There were no signs of meningitis and mild tenderness present over abdomen. At laparotomy the tube was seen to enter the descendens colon and was encapsulated by the greater omentum. The tube was cut and the distal end removed via the anus. The descendens colon was repaired. The catheter continued to function effectively and the patient remained asymptomatic.

Conclusion: Colon perforation and transanal extrusion of VP shunt catheter is a rare but serious problem. The results of abdominal complications of VP shunts are excellent when diagnosed and treated early.

Keywords

colon perforation; hydrocephalus; ventriculoperitoneal shunt

Hrčak ID:

262914

URI

https://hrcak.srce.hr/262914

Publication date:

28.9.2021.

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