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Year : 2008  |  Volume : 3  |  Issue : 2  |  Page : 166-168

Transoral migration of peritoneal end of ventriculoperitoneal shunt: A case report of a rare complication and review of literature

1 Department of Neurosurgery, Sri Ramakrishna Hospital, Tamilnadu, India
2 Department of Neurosurgery, GKNM Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
R Murali
6, Chaturvedi Nagar, Sanganoor Road, Ganapathy, Coimbatore, Tamil Nadu-641 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1745.43651

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A rare complication of ventriculoperitoneal (VP) shunt is presented. A 6-year-old boy presented with a tube coming out of the mouth. He had a VP shunt done earlier. Clinical features and imaging studies showed that the peritoneal end had perforated the stomach and then migrated to and excited from the mouth. The shunt was removed and he made an uneventful recovery. Though migration of the peritoneal end of the shunt tube into various organs is known, only five cases have been reported in the English literature of a shunt tube coming out of the mouth and this is the sixth. The management of this very rare problem is discussed and the literature reviewed.


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