A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid
Hilal Abboud, Abdessamad Elouahabi
Corresponding author: Hilal Abboud, Department of Neurosurgery, Ibn Sina Hospital Medical School, Mohamed V University, Rabat, Maroc 
Received: 30 Mar 2016 - Accepted: 07 Oct 2019 - Published: 05 Nov 2019
Domain: Neurosurgery
Keywords: Hydrocephalus, shunt, complication
©Hilal Abboud et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Hilal Abboud et al. A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid. Pan African Medical Journal. 2019;34:127. [doi: 10.11604/pamj.2019.34.127.9497]
Available online at: https://www.panafrican-med-journal.com/content/article/34/127/full
Original article 
A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid
A very rare complication of ventriculoperitoneal shunt of cerebrospinal fluid
Hilal Abboud1,&, Abdessamad Elouahabi1
1Department of Neurosurgery, Ibn Sina Hospital Medical School, Mohamed V University, Rabat, Maroc
&Corresponding author
Hilal Abboud, Department of Neurosurgery, Ibn Sina Hospital Medical School,
Mohamed V University, Rabat, Maroc
Hydrocephalus is defined as an active dilation of cerebral ventricles secondary to a hydro-dynamic disorder of the cerebrospinal fluid (CSF). It is a common condition in pediatric neurosurgery, for which, there are several medical and surgical treatment options. The ventriculoperitoneal shunt (VPS) is the most used method, it consists to drain excess cer-ebrospinal fluid from the ventricles to the peritoneal cavity using a valve. Infection is the most serious complication, it occurs in 10% of cases, other complications can be noted like hemorrhage, hyperdrainage or valve malfunction. We report a rare case of a compli-cated VPS three months after surgery, by a distal catheter externalization on para-spinal level in 6 months patient, who was operated for malformative hydrocephalus, and which benefited on VPS with immediate good outcome. The patient presents to the emergency three months after the establishment of the VPS, she is conscious and afebrile at admis-sion, with a normal cranial perimeter, operative scars are clean, the valve is palpable at the right mastoid and the distal catheter under the skin along its path, the distal tip is ex-ternalized several centimeters through the skin to the right para-spinal level, the VPS is removed. Biochemical and cytobacteriological analysis of the CSF and the ventricular cath-eter did'nt objectify meningitis. A brain CT scan is subsequently conducted to assess the degree of hydrocephalus and decide a ventricular shunt.
Figure 1: A) The distal tip of catheter externalised on paraveretebral level; B) Externalisation of several centimeters without underlyin collection
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