A rare complication of ventriculoperitoneal shunt: gastric perforation

  • Joseph Synèse BEMORA Neurosurgeon
  • Miraulle Tien Yu Song
  • Willy Francis Rakotondraibe
  • Willy Ratovondrainy
  • Mamiarisoa Rabarijaona
  • Clément Andriamamonjy
Keywords: DVP, dysfunction, externalization, hydrocephalus

Abstract

We report the case of a girl aged 16 months who were admitted in neurosurgery department of the CHU-JRA in November 2018 for dysfunction of a mechanical type ventriculoperitoneal bypass valve. This child presented a hydrocephalus communicating postmeningitic with quadriventricular dilatation since her 7th month. A ventriculoperitoneal shunt has been established. Subsequently, there was an externalization like complication of the distal catheter in the oral cavity due to gastric perforation (confirmed by radiography) at 09 months postoperative. She was operated in emergency to remove the system and replace a shunt with a simple operation.

Author Biographies

Joseph Synèse BEMORA, Neurosurgeon

Department of Neurosurgery CHU-HJRA Antananarivo Madagascar

Miraulle Tien Yu Song

Department of Neurosurgery CHU PZAGA Mahajanga Madagascar

Willy Francis Rakotondraibe

Department of Neurosurgery CHU PZAGA Mahajanga Madagascar

Willy Ratovondrainy

Department of Neurosurgery CENHOSOA Antananarivo Madagascar

Mamiarisoa Rabarijaona

Department of Neurosurgery CHU Tambohobe Fianarantsoa Madagascar

Clément Andriamamonjy

Department of Neurosurgery CHU-HJRA Antananarivo Madagascar

References

Diop A, Tine I, Ouiminga AK, Ndiaye AR, Mbow CT, Soumare CT et al. Résultats du traitement endoscopique de l’hydrocéphalie en milieu pédiatrique, à l’hôpital principal de Dakar Sénégal. 2011 ; 57 :1-22. http :10.1016/j.neuchi.2011.09.047

Drake J, Kestle J, Milner R et al. Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus. Neurosurgery 1998; 43: 294-305.

Boustil K, Boutiah L, Chabay Z, Bakhti S. Société de Neurochirurgie de langue francaise. 2018; 64 : 219–239. https://doi.org/10.1016/j.neuchi.2018.05.033

Daouda Mahamadou. Complications de la dérivation ventriculopéritonéale dans le Service de Neurochirurgie du CHU Gabriel Touré SISSOKO (Thèse de Médecine en ligne). Mali(ML) : Université de Bamako, Faculté de Médecine de Pharmacie et D’Odonto Stomatologie ; 2011. [Consulté le 22 Mai 2019]. 84p. Disponible:http://www.keneya.net/fmpos/theses/2011/med/pdf/11M214.pdf

Diarra Mamadou Salia. Etude des pathologies neurochirurgicales opérées dans le service d’Ortho-Traumatologie de l’Hôpital Gabriel Touré à propos de 106 cas (Thèse de Médecine en ligne) : Mali(ML) : Université de Bamako, Faculté de Médecine de Pharmacie et D’Odonto Stomatologie ; 2009. [Consulté le 22 Mai 2019]. 76p. Disponible: http://www.keneya.net/fmpos/theses/2009/med/pdf/09M442.pdf

Published
2019-07-06