Conference 2021 Pre-Recorded Video
Peritoneal catheter spontaneous extrusion through the intact abdominal wall – Report of two cases
Authors and Affiliations
Gabriela Ferreira Kalkmann1, and Carlos Umberto Pereira2
1. Department of Medicine, Federal University of Paraná, Curitiba, Brazil
2. Department of Neurosurgery, Sergipe Emergency Hospital, Aracaju, Brazil
Ventriculoperitoneal shunt (VPS) is a neurosurgical intervention widely used in the control and treatment of hydrocephalus. The migration of the peritoneal catheter through the intact abdominal wall is an uncommon complication and its pathophysiology is unknown. The migration and extrusion of the peritoneal catheter through the intact abdominal wall has been considered a rare complication in surgery to treat hydrocephalus. Prophylactic measures should be considered in preventing this complication.
Two cases of peritoneal catheter extrusion through the intact abdominal wall are reported in patients with congenital hydrocephalus.
The first case is about a newborn, male, six months. He was feverish, associated with the presence of an erythematous lesion close to the umbilical scar, with purulent secretion spontaneous drainage. The second case is about a newborn, male, four months old. Febrile, associated with inflammatory signs in the abdominal wall associated with peritoneal catheter extrusion. Both patients underwent shunt system removal, with administration of systemic antibiotic therapy, followed by replacement of a new shunt, with excellent results.
In the presence of this complication, surgical treatment is indicated, through complete removal of the system, systemic antibiotic therapy and subsequent replacement of a new system.