Marcelo Eller Miranda1,2, Mariana Bueno de Sousa2, Edson Samesima Tatsuo1,2, Lucas Viana Quites3, Alexandre Varella Giannetti4,5. 1. Department of Surgery, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil. 2. Service of Pediatric Surgery, Hospital das Clínicas, Federal University of Minas Gerais, Belo Horizonte, Brazil. 3. Service of Neurosurgery, Hospital das Clínicas, Federal University of Minas Gerais, Rua Santa Catarina, 1042 ap: 201, Belo Horizonte, MG, 30170-080, Brazil. 4. Department of Surgery, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil. agjg@terra.com.br. 5. Service of Neurosurgery, Hospital das Clínicas, Federal University of Minas Gerais, Rua Santa Catarina, 1042 ap: 201, Belo Horizonte, MG, 30170-080, Brazil. agjg@terra.com.br.
Abstract
BACKGROUND: Bladder perforation by ventriculoperitoneal shunt is a rare complication that has been describe in 19 cases in prior literature. CASE DESCRIPTION: This work describes the case of a 4-month-old baby who presented with extrusion of the distal catheter through the urethra. The patient underwent a laparotomy; the catheter was cut close to the bladder wall and repositioned into the peritoneal cavity. The bladder wall was sutured, and the remaining distal portion of the catheter was removed through the urethra. DISCUSSION AND CONCLUSION: Based on this single experience and a literature review, the authors classified the clinical signs and symptoms of bladder perforation by the ventriculoperitoneal shunt catheter. Finally, the authors propose a more conservative approach for this rare complication.
BACKGROUND: Bladder perforation by ventriculoperitoneal shunt is a rare complication that has been describe in 19 cases in prior literature. CASE DESCRIPTION: This work describes the case of a 4-month-old baby who presented with extrusion of the distal catheter through the urethra. The patient underwent a laparotomy; the catheter was cut close to the bladder wall and repositioned into the peritoneal cavity. The bladder wall was sutured, and the remaining distal portion of the catheter was removed through the urethra. DISCUSSION AND CONCLUSION: Based on this single experience and a literature review, the authors classified the clinical signs and symptoms of bladder perforation by the ventriculoperitoneal shunt catheter. Finally, the authors propose a more conservative approach for this rare complication.