Author:
Aljohani Sara,Mahrous Khalid,AlJohani Ahmed,Qutub Luma,Kutub Layan,Alhajrasi Raghad,Kutub Hussam,AlAhmadi Abdulrahman Mohammed
Abstract
Background: VP shunt failure due to distal catheter migration is an uncommon complication mainly associated with increased intra-abdominal pressure related to obesity. Observations: We report two cases of morbidly obese patients who presented with recurrent distal catheter migration and pseudocyst formation in the subcutaneous space less than a month following VP shunt placement for the management of hydrocephalus. Conclusion: Special attention must be given when placing a VP shunt in morbidly obese patients. There are various methods to prevent tube migration in such patients, like using a longer catheter tube, tight closure of the peritoneum while placing the catheter between the fat and abdominal muscles, using a hernia patch, and using laparoscopic techniques. We advocate for using different surgical procedures in obese patients prophylactically to avoid VP shunt failure and distal tube migration in patients with associated risk factors. Keywords: Shunt Complication, Subcutaneous Migration, Ventriculoperitoneal Shunt, Obesity
Publisher
Medi + World International
Subject
Physiology (medical),Ecology, Evolution, Behavior and Systematics,Physiology,General Biochemistry, Genetics and Molecular Biology,General Earth and Planetary Sciences,Pollution,General Environmental Science,Waste Management and Disposal,Artificial Intelligence,Cognitive Neuroscience,Experimental and Cognitive Psychology,Pharmacology,General Immunology and Microbiology,Applied Microbiology and Biotechnology,General Medicine,Bioengineering,Biotechnology,Cell Biology,Molecular Biology,Pharmacology (medical),Gastroenterology,Oncology,Rheumatology,Immunology and Allergy,General Biochemistry, Genetics and Molecular Biology,General Agricultural and Biological Sciences,General Earth and Planetary Sciences,General Environmental Science