Retrograde Migration of a Ventriculoperitoneal Shunt Followed by Scrotal Migration after Correction in the Same Infant with Triventricular Hydrocephalus: A Case Report and Review of the Literature

Fondop Joseph

Faculte de Médecine et des Sciences Pharmaceutiques, Université de Dschang, Cameroon.

Atemken Tstatedem Fautin

Faculte de Médecine et des Sciences Pharmaceutiques, Université de Dschang, Cameroon.

Dikongue Dikongue Alfred

Faculte de Médecine et des Sciences Pharmaceutiques, Université de Dschang, Cameroon.

C. Atyam Ekoto Marie Christine

Hopital Regional Annexe de Dschang, Cameroon.

Djam Ca *

Faculte de Médecine et des Sciences Pharmaceutiques, Université de Dschang, Cameroon.

Scavarda Didier

CHU Timone Enfant Marseille, Cameroon.

Djientcheu Vincent De Paul

Hôpital General de Yaounde, Cameroon.

*Author to whom correspondence should be addressed.


Abstract

Hydrocephalus is a condition responsible for significant morbidity and mortality, and the most common surgical treatment is ventriculoperitoneal diversion with a drain, which can cause complications such as valve dysfunction, infection, peritoneal pseudocysts, and migration out of the peritoneal cavity. We report in this work a rare case of a newborn, delivered by caesarean section of a carrier of Human Infection Virus(HIV) infection, with congenital triventricular hydrocephalus, treated by ventriculoperitoneal shunt. The surgical course was marked by a retrograde migration followed by a migration into the left scrutom after repositioning the drain.

Ventriculoperitoneal shunt is a surgical treatment of hydrocephalus which appears technically simple, it requires a regular follow-up of the patient because of the complications which can occur, the examination of the drain path must be part of the monitoring factors.

Keywords: Ventriculoperitoneal shunt, migration, retrograde, scrotal


How to Cite

Joseph , Fondop, Atemken Tstatedem Fautin, Dikongue Dikongue Alfred, C. Atyam Ekoto Marie Christine, Djam Ca, Scavarda Didier, and Djientcheu Vincent De Paul. 2023. “Retrograde Migration of a Ventriculoperitoneal Shunt Followed by Scrotal Migration After Correction in the Same Infant With Triventricular Hydrocephalus: A Case Report and Review of the Literature”. Asian Journal of Research and Reports in Neurology 6 (1):36-42. https://journalajorrin.com/index.php/AJORRIN/article/view/75.


References

HussamAbou-Al-Shaar, Arka N. Mallela ; Hanna N. Algattas , Rachel Rogers, Robert M. Friedlander . Ventriculoperitoneal shunt failure due to distal peritoneal catheter kinking. Am J Case Rep. 2022;23:e935077.

Nadia Mansoor, Ole Solheim, Oddrun A. Fredriksli, Sasha Gulati. Shunt complications and revisions in children: A retrospective single institution study, Brain Behav. 2021;11:e2390.

Available:wileyonlinelibrary.com/journal/brb3 1 pf1 of 8

Shashikanth R. Ambati, Suzanne Barry, Adamo A. Matthew, Mary Edwards. Transvaginal migration of ventriculoperitoneal shunts in children: review of literature. Asian Journal of Neurosurgery. 2022;17(3) ©:399-406.

Ismatullah Soufiany , Khalil Ahmad Hijrat, Spina Soufiany, Lukui Chen. Mechanisms and major sites of distal catheter migration in ventriculoperitoneal shunting maneuvers: A review article. Brain Science Advances. 2018;4(2):141–155.

Harischandra L S, Sharma A, Chatterjee S. Shunt migration in ventriculoperitoneal shunting: A comprehensive review of literature. Neurol India. 2019;67:85-99.

Ahmed AM Ezzat , Mohamed AR Soliman, Amr A. Hasanain1, Mohamed A. Thabit, Hesham Elshitany1, Haitham Kandel , Sameh H. Abdel-Bari, Ahmed MF Ghoul, Ahmed Abdullah, Mohamed FM Alsawy, Ammar A Ghaleb, Ahmed Al Menabbawy, Ahmed A. Marei, BassanteAbd El Razik, Henry WS Schroeder, Sascha Marx, Ahmed Zohdi, Ehab El Refaee, Migration of the distal catheter of ventriculoperitoneal shunts in pediatric age group: Case Series. World Neurosurgery. 2018;119:e131-e137.

Mahmoud M. Taha, MD, PHD, Hassan A. Almenshawy, MD, Mohamed Kh. Elbadawy, MD. Migration of distal end of VP shunt into the scrotum: a management review. Surg J (N Y). 2022;8(3):e245-e248.Published online 2022 Sep 2.

DOI: 10.1055/s-0042-1756181

Balasubramanyam Shankar, Ramakrishna Narayanan, Samir Mustaffa Paruthikunnan, Chaitanya Dattatray Kulkarni, Scrotal migration of ventriculoperitoneal shunt. BMJ Case Rep; 2014. DOI:10.1136/bcr-2014-204404

Yang Benson P, Yang, Carina W, Mindea, Stefan A, Alden, Tord D. Reduplication of ventriculoperitoneal shunt catheter tip back through shunt tract pediatric neurosurgery preview publication details. Basel. N° 3. 2005;41:168-9.

Ram Chandra Deo, AbhijitAcharya, Satya Bhusan Senapati, Souvagya Panigrahi, Ashok Kumar Mohapatra. Complete intraventricular migration of ventriculo-peritoneal shunt: A rare case report. International Journal of Surgery Case Reports. 2022;101:10777.

Ashish Chugh, Sarang Gotecha, Gaurav Amle, Anil Patil, Prashant Punia, Megha Kotecha. Abnormal migration and extrusion of abdominal end of ventriculoperitoneal shunt: An experience of eight cases, original articles. Journal of Pediatric Neurosciences. 2018;13(3):317-321.

Afshin Mohammadi, Abbas Hedayatiasl, Mohammad Ghasemi-rad. Scrotal migration of a ventriculoperitoneal shunt: a case report and review of literature. Medical Ultrasonography. 2012;14(2):158-160.

J Roth, B Sagie, A Szold, H Elran. Laparoscopic versus nonlaparoscopic-assisted ventriculoperitoneal shunt placement in adults. A retrospective analysis. Surgical Neurology. 2007;68(2):177-184.

Christopher Lee, Lucinda Chiu, Pawan Mathew, Gabrielle Luiselli, Charles Ogagan, Rrita Daci, Brittany Owusu-Adjei, Rona S. Carroll, Mark D. Johnson. Evidence for increased intraabdominal pressure as a cause of recurrent migration of the distal catheter of a ventriculoperitoneal shunt: illustrative case. J Neurosurg Case Lessons. CASE2032, 2021;1(3). DOI: 10.3171/CASE2032

Morrison JF, Sung KE, Bergman AM, et al. A novel solution to reduce the complications of distal shunt catheter displacement associated with obesity. J Neurosurg. 2010;113(6):1314–1316.

Heim RC, Kaufman BA, Park TS. Complete migration of peritoneal shunt tubing to the scalp. Childs Nerv Syst. 1994;10(6):399–400.

Scott M, Wycis HT, Murtagh F, et al. Observations on ventricular and lumbar subarachnoid peritoneal shunts in hydrocephalus in infants. J Neurosurg. 1955;12(2):165–175.

Eljamel MS, Sharif S, Pidgeon CN. Total intraventricular migration of unisystemventriculo-peritoneal shunt. ActaNeurochir (Wien). 1995;136(3-4):217–218.

Huliyappa HA, Jaiswal M, Singh SK, Ojha B, Chandra A, Chhitij S. Retrograde partial migration of ventriculoperitoneal shunt with chamber: review of causative factors and its prevention. Journal of Pediatric Neurosciences. 2017;12(1):93-95. Available:https://doi.org/10.4103/1817-1745.205654

Ferreira Furtado L, Da Costa Val Filho J, Moreira Faleiro R, et al. Abdominal complications related to ventriculoperitoneal shunt placement: a comprehensive review of literature. Cureus 2021;13(2):e13230.

DOI 10.7759/cureus.13230

Marsha J. Crofford, Dvoral Balsam. Scrotal migration of ventriculoperitoneal shunts. American Journal of Roentgenology. 1983; 141:369-371.

2214/ajr.141.2.369,Read More: https://www.ajronline.org/doi/abs/10.2214/ajr.141.2.369