Journal of the Formosan Medical Association
Volume 109, Issue 6 , Pages 472-475, June 2010

Transanal Repair of Colonic Perforation due to Ventriculoperitoneal Shunt—Case Report and Review of the Literature

  • Li-Lan Chiang

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Meng-Fai Kuo

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Bih-Juan Fan

      Affiliations

    • Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • ,
  • Wen-Ming Hsu

      Affiliations

    • Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Wen-Ming Hsu, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan

Received 23 February 2008; received in revised form 4 June 2008; accepted 3 July 2008.

Article Outline

Colonic perforation is an extremely rare complication following ventriculoperitoneal (VP) shunting. Laparotomy to repair the perforation site is usually required for patients with peritonitis. Here we report colonic perforation due to VP shunt in a 4-year-old girl, presenting with a distal catheter protruding out of the anus as well as symptoms and signs of peritonitis. The distal catheter was removed and the perforation site was repaired successfully via the anus. Postoperative course was uneventful. Trans-anal repair of the colonic perforation after removal of the distal shunt may be considered an alternative choice for managing this kind of complication.

Key Words:  bowel perforation , transanal repair , ventriculoperitoneal shunt

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Sathyanarayana S , Wylen EL , Baskaya MK , et al.   Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases . Surg Neurol . 2000;54:388–396
  2. Snow RB , Lavyne MH , Fraser RA . Colonic perforation by ventriculoperitoneal shunts . Surg Neurol . 1986;25:173–177
  3. Yousfi MM , Jackson NS , Abbas M , et al.   Bowel perforation complicating ventriculoperitoneal shunt: case report and review . Gastrointest Endosc . 2003;58:144–148
  4. Chen HS . Rectal penetration by a disconnected ventriculoperitoneal shunt tube: an unusual complication . Chang Gung Med J . 2000;23:180–184
  5. Wilson CB , Bertan V . Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of two cases . Am Surg . 1966;32:601–603
  6. Ghritlaharey RK , Budhwani KS , Shrivastava DK , et al.   Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children . Pediatr Surg Int . 2007;23:575–580
  7. Digray NC , Thappa DR , Arora M , et al.   Silent bowel perforation and transanal prolapse of a ventriculoperitoneal shunt . Pediatr Surg Int . 2000;16:94–95

PII: S0929-6646(10)60079-4

doi:10.1016/S0929-6646(10)60079-4

Journal of the Formosan Medical Association
Volume 109, Issue 6 , Pages 472-475, June 2010

Article Tools