Migration of Ventriculoperitoneal Shunt to the Uterus in a Child: A Case Report: Ventriculoperitoneal Shunt migration

Avantika Gupta*, Akshaya Murali, Rajinder Kumar, Dilip Kumar Maurya, Anish Keepanasseril

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background: A ventriculoperitoneal shunt (VPS) is usually placed inside the peritoneal cavity for cerebrospinal fluid drainage. Rarely, it can migrate to various pelvic visceral organs. Inside the pelvis, the distal end of the shunt can perforate anywhere from the uterus or adnexa to the vulva, and migration through the uterus is extremely rare. Case: A three-and-a-half-year-old girl presented with a cerebrospinal fluid leak through the vagina after uterine perforation by a VPS. The diagnosis was made with an ultrasound. Her symptoms resolved after revision surgery. Conclusion: In a patient with a VPS in situ, presenting with a watery fluid leak through the vagina, perforation of the fornix or uterus must always be kept in mind. Timely diagnosis and intervention can result in the prevention of complications.

Original languageEnglish
Pages (from-to)196-198
Number of pages3
JournalJournal of Pediatric and Adolescent Gynecology
Volume35
Issue number2
DOIs
Publication statusPublished - Apr 2022
Externally publishedYes

Keywords

  • Shunt migration
  • Uterine perforation
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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