Transoral migration of peritoneal end of ventriculoperitoneal shunt with perforation of gastro-esophageal junction: a case report of a rare complication

Authors

  • Rahul Gupta SPMCHI, SMS Hospital, Jaipur, Rajasthan
  • Tariq Ahmed Mala ASCOMS and Hospital, Jammu (J&K)
  • Atul Gupta SPMCHI, SMS Hospital, Jaipur, Rajasthan
  • Rozy Paul Jaipur, Rajasthan
  • Shahaid Amin Malla SS Medical College, Rewa (MP)
  • Arun Kumar Gupta SPMCHI, SMS Hospital, Jaipur, Rajasthan

DOI:

https://doi.org/10.3329/bjms.v13i4.20654

Keywords:

migration, peritoneal end, transoral, oral extrusion, gastro-esophageal junction, hydrocephalus, ventriculoperitoneal shunt

Abstract

A rare complication of ventriculoperitoneal (VP) shunt is presented. A 11-year old boy presented with a tube coming out of the mouth. He had multiple VP shunt done earlier. Clinical features, laboratory investigations and imaging studies showed that the peritoneal end had perforated the gastro-oesophageal junction and then prolapsed trans-orally. The shunt was removed and he made an uneventful recovery. Though migration of the peritoneal end of the shunt tube into various organs is known, to our knowledge, only six/seven cases have been reported in the English literature of a shunt tube coming out of the mouth and this is the next. The management of this very rare problem is discussed.

DOI: http://dx.doi.org/10.3329/bjms.v13i4.20654

Bangladesh Journal of Medical Science Vol.13(4) 2014 p.492-495

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Author Biographies

Rahul Gupta, SPMCHI, SMS Hospital, Jaipur, Rajasthan

Resident, Paediatric Surgery, Department of Paediatric Surgery

Tariq Ahmed Mala, ASCOMS and Hospital, Jammu (J&K)

Postgraduate, Department of Surgery

Atul Gupta, SPMCHI, SMS Hospital, Jaipur, Rajasthan

Resident, Paediatric Surgery, Department of Paediatric Surgery

Rozy Paul, Jaipur, Rajasthan

Medical Officer

Arun Kumar Gupta, SPMCHI, SMS Hospital, Jaipur, Rajasthan

Professor, Paediatric Surgery (MCh Paediatric Surgery), Department of Paediatric Surgery

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Published

2014-10-17

How to Cite

Gupta, R., Mala, T. A., Gupta, A., Paul, R., Malla, S. A., & Gupta, A. K. (2014). Transoral migration of peritoneal end of ventriculoperitoneal shunt with perforation of gastro-esophageal junction: a case report of a rare complication. Bangladesh Journal of Medical Science, 13(4), 492–495. https://doi.org/10.3329/bjms.v13i4.20654

Issue

Vol. 13 No. 4 (2014)

Section

Case Reports

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