HEPATIC PENETRATION BY DISTAL END OF VENTRICULOPERITONEAL SHUNT: A RARE COMPLICATION, A CASE REPORT

Dr. Neeraj Salhotra*, Dr. Mahmood Al Hatali, Dr. Ahmed Tolba, Dr. Salim Al Abri, Dr. Ahmed Wadee, Dr. Kauthar Al Zakwani, Dr. Shalini Adhikari and Dr. Jehad Al Habsi

ABSTRACT

The most common procedure to deal with hydrocephalus is ventriculoperitoneal (VP) shunt. The purpose of the shunt is to drain cerebrospinal fluid from cerebral ventricles to abdominal cavity. Many complications of VP shunts have been reported such as infection, obstruction, overdrainage. Abdominal complications occur in ~15–25% of VP shunts in pediatric patients, such as peritonitis, hernia, abscess, perforated colon, perforated bladder and abdominal pseudocyst. However, sub-capsular effusion of liver is a rare complication of VP shunt. In this case report, We described an unusual case of VP shunt complication in a 2-year-old child who presented with intermittent fever and abdominal pain.

Keywords: Hepatic perforation.