Global Pediatric Health (Oct 2024)

Trans-Oral Protrusion of the Distal End of a Ventriculoperitoneal Shunt: A Case Report of an Unusual Complication

  • Joseph Y. B. Nnang MD,
  • Berjo Takoutsing MD,
  • Lisa Akob MD,
  • Gilbert Yada MD,
  • Geneviève Endalle MD,
  • Mohammed Njoya MD,
  • Yvanah Owoundi MD,
  • Astel Dongmo MD,
  • Mercy Berinyuy MD,
  • Wunde Njineck MD,
  • Mustafa Semougnal MD,
  • Megan E. H. Still MD,
  • Ignatius Esene MD, MSc, PhD, MPH

DOI
https://doi.org/10.1177/2333794x241291750
Journal volume & issue
Vol. 11

Abstract

Read online

Ventriculoperitoneal shunting (VPS) is the surgical technique of choice to manage pediatric hydrocephalus. Despite having good results, it is prone to complications, some of which are rare. This is the case report of a 2-year-old male, with an uncomplicated VPS done at 6 months of age, presenting with vomiting, irritability, anorexia, and drooling. There was an oral protrusion of a tube dripping clear fluid. Imaging studies demonstrated evidence of gastric perforation with a cephalic migration and transoral protrusion of the distal end of the shunt tubing. A gastroplasty, and immediate revision of the distal shunt were done free of any complications. This case report underlines the importance of recognizing and managing trans-oral protrusion of the distal end of VPS system in a timely manner, and raises awareness of this uncommon complication and its potential influence on patient health and survival, given ventriculitis’ high lethality.