Laparoscopic Treatment of Ventriculo-Peritoneal Shunt Complication Due To Distal Catheter Isolation Inside the Falciform Ligament

Abstract Background A ventriculoperitoneal shunt (VPS) is a widely recognized treatment that we use to treat hydrocephalus. In one’s lifetime, there is a high possibility of being diagnosed with shunt dysfunction. Occasionally, complications caused by the distal catheter located in the intra- abdomi...

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Bibliographic Details
Published in:World neurosurgery 2015
Main Authors: Kim, Jong-Hoon, MD, Jung, Young-Jin, MD, Chang, Chul-Hoon, MD
Format: Article
Language:English
Subjects:
Neurosurgery
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Summary:Abstract Background A ventriculoperitoneal shunt (VPS) is a widely recognized treatment that we use to treat hydrocephalus. In one’s lifetime, there is a high possibility of being diagnosed with shunt dysfunction. Occasionally, complications caused by the distal catheter located in the intra- abdominal cavity may occur. Case Description In this case, after undergoing shunt surgery, the patient’s distal catheter had not moved and was fixed in one place. Therefore, we used abdominal computed tomography (CT) and discovered the presence of a pseudocyst where the distal catheter was located. Through laparoscopic-assisted surgery performed by the department of general surgery, we discovered that the distal catheter entered into the falciform ligament and caused it to expand, creating a cyst. The fascia of the falciform ligament was dissected using a harmonic scalpel. CSF and the distal catheter were noted. Afterwards, the distal catheter was placed into the peritoneal cavity. After surgery, the patient was discharged without any complications. Conclusions Although this is an unusual circumstance, there have been reports of some cases where the VPS distal catheter entered the falciform ligament. Therefore, one must pay close attention during the operation. In addition, when treatment is necessary, laparoscopic-assisted surgery might serve as a very effective diagnostic and therapeutic modality.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2016.03.023