Migración del catéter de derivación ventriculoperitoneal con protrusión por cavidad oral
Reporte de un caso y revisión de la literatura
DOI:
https://doi.org/10.51437/nj.v24i2.15Palabras clave:
Hidrocefalia, derivación ventriculoperitoneal, DVP, migración, protrusión oral, perforación intestinalResumen
Resumen: A pesar de que la derivación ventriculoperitoneal (DVP) es considerada como el manejo definitivo de la hidrocefalia posthemorrágica en la mayoría de los casos, sus complicaciones aún son comunes, con un 25% correspondiente a aquellas de origen abdominal, dentro de las cuales se encuentran la perforación de vísceras abdominales y la migración distal del catéter peritoneal con salida por diferentes orificios naturales. La protrusión oral del catéter de DVP es una complicación bastante rara y desde el primer caso presentado en 1987 se han reportado solo 22 casos a nivel mundial y ninguno en Colombia. Debido a sus potenciales complicaciones como peritonitis, meningitis o ventriculitis con importante morbimortalidad, se requiere un tratamiento oportuno. Sin embargo éste no se encuentra bien establecido dado lo inusual de la condición.
Por este motivo presentamos a continuación el caso de un lactante mayor con protrusión oral del catéter de DVP, junto con una revisión de la literatura
analizando los principales factores relacionados con dicha condición, su patogenia, complicaciones y las posibilidades de manejo, proponiendo un tratamiento
sencillo, efectivo y seguro para el paciente, con menor riesgo de complicaciones.
Citas
Lee IC, Lee HS, Su PH, Liao WJ, Hu JM, Chen JY. Posthemorrhagic hydrocephalus in newborns: clinical characteristics and role of ventriculoperitoneal shunts. Pediatr Neonatol. 2009; 50: 26–32.
Willis B, Javalkar V, Vannemreddy P, Caldito G, Matsuyama J, Guthikonda B, et al. Ventricular reservoirs and ventriculoperitoneal shunts for premature infants with posthemorrhagic hydrocephalus: an institutional experience. J Neurosurg Pediatr. 2009; 3: 94–100.
Lifshutz JI, Johnson WD. History of hydrocephalus and its treatments. Neurosurg Focus. 2001; 11:2.
UpToDate [Internet] Management and complications of intraventricular hemorrhage in the newborn Lisa M Adcock, MD. Abril 2017 [ Mayo 2017] Disponible en: https://www.uptodate.com/contents/search.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Srivastava J. Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions. Afr J Paediatr Surg. 2012;9(1):32-9.
Di Rocco C, Marchese E, Velardi F. A survey of the first complication of newly implanted CSF shunt devices for the treatment of nontumoral hydrocephalus. Child’s Nerv Syst 1994;10:321-7.
Yilmaz MB, Egemen E, Tonge M, Kaymaz M. Transoral protrusión of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting: case report and review of the literature.Turk Neurosurg. 2013;23(2):285-8.
Rajendra Kumar Ghritlaharey. Review of the Management of Peroral Extrusion of Ventriculoperitoneal Shunt Catheter J Clin Diagn Res. 2016; 10(11): PE01–PE06.
Grace Muthoni Thiong’o, MD, Christopher Luzzio, MD, and A. Leland Albright, MD. Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr 2015;16:36–41.
Snow RB, Lavyne MH, Fraser RA: Colonic perforation by ventriculoperitoneal shunts. Surg Neurol 1986; 25:173–177
Zhou F, Chen G, Zhang J: Bowel perforation secondary to ventriculoperitoneal shunt: case report and clinical analysis. J Int Med Res 2007; 35:926–929.
Shiong Wen Low, Lwin Sein, Tseng Tsai Yeo, Ning Chou. Migration of the Abdominal Catheter of a Ventriculoperitoneal Shunt into the Mouth: A Rare Presentation. Malaysian J Med Sci. 2010; 17(3): 64-67.
Odebode TO. Jejunal perforation and per oral extrusion of a peritoneal shunt catheter. Br J Neurosurg 2007; 21:235-6.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Gupta G, Kushwaha AS, Chanchlani R, et al. Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children. Pediatr Surg Int. 2007;23:575-80.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Srivastava J. Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions. Afr J Paediatr Surg. 2012;9:32-9.
Hai A, Rab AZ, Ghani I, Huda MF, Quadir AQ. Perforation into gut by ventriculoperitoneal shunts: A report of two cases and review of the literature. J Indian Assoc Pediatr Surg. 2011;16:31-33.
Park CK, Wang KC, Seo JK, Cho BK. Transoral protrusion of a peritoneal catheter: a case report and literature review. Child’s Nerv Syst 2000;16:184–9.
Vinchon M, Baroncini M, Laurent T, et al: Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment. Neurosurgery 2006; 58(suppl 1): ONS76 – 82.
Brownlee JD, Brodkey JS, Schaefer IK. Colonic perforation by ventriculoperitoneal shunt tubing: A case of suspected silicone allergy. Surg Neurol 1998;49:21–4.
Sridhar K, Karmarkar V. Peroral extrusion of ventriculoperitoneal shunt: Case report and review of literature. Neurol India 2009;57:334-6.
Moncef Berhouma, Mahmoud Messerer, Sobhy Houissa, Moncef Khaldi. Transoral Protrusion of a Peritoneal Catheter: A Rare Complication of Ventriculoperitoneal Shunt. Pediatr Neurosurg 2008;44:169–171.
Moneet Agarwal, Ritu Adhana,1 Hemant Namdev, Yad R. Yadav, and Tarun Agrawal. Transoral extrusion of the ventriculoperitoneal shunt: A case report and review of literatura. J Pediatr Neurosci. 2011; 6(2): 149–151.
Grace Muthoni Thiong’o, MD, Christopher Luzzio, MD, and A. Leland Albright, MD. Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr. 2015; 16:36–41.
Sathyanarayana S, Wylen EL, Baskaya MK, Nanda A: Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases. Surg Neurol 2000; 54(5):388-96.
Mahesh Gupta, Naseeb C Digra,1 Narendra Sharma,2 Subhash Goyal, and Amit Agrawal. Peroral Extrusion of the Peritoneal Catheter in an Infant. N Am J Med Sci. 2012; 4(6): 290–292.
Rajendra K. Ghritlaharey. Extrusion of Ventriculoperitoneal Shunt Catheter through Mouth in a Two-year-old Girl: A Case Report. International Journal of Clinical Pediatric Surgery. 2015; 1(1): 1-4.
P Mandhan et al. Laparoendoscopic Removal of Peroral Extrusion of a Ventriculoperitoneal Shunt. Asian J Endosc Surg 2015;8(1): 95-97.
Pinto FC, de Oliveira MF. Laparoscopy for ventriculoperitoneal shunt implantation and revision surgery. World J Gastrointest Endosc. 2014; 6:415-18.
Phan S, Liao J, Jia F, Maharaj M, Reddy R, Mobbs RJ, et al. Laparotomy vs minimally invasive laparoscopic ventriculoperitoneal shunt placement for hydrocephalus: A systematic review and meta-analysis. Clin Neurol Neurosurg. 2016; 140:26-32.
Willis B, Javalkar V, Vannemreddy P, Caldito G, Matsuyama J, Guthikonda B, et al. Ventricular reservoirs and ventriculoperitoneal shunts for premature infants with posthemorrhagic hydrocephalus: an institutional experience. J Neurosurg Pediatr. 2009; 3: 94–100.
Lifshutz JI, Johnson WD. History of hydrocephalus and its treatments. Neurosurg Focus. 2001; 11:2.
UpToDate [Internet] Management and complications of intraventricular hemorrhage in the newborn Lisa M Adcock, MD. Abril 2017 [ Mayo 2017] Disponible en: https://www.uptodate.com/contents/search.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Srivastava J. Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions. Afr J Paediatr Surg. 2012;9(1):32-9.
Di Rocco C, Marchese E, Velardi F. A survey of the first complication of newly implanted CSF shunt devices for the treatment of nontumoral hydrocephalus. Child’s Nerv Syst 1994;10:321-7.
Yilmaz MB, Egemen E, Tonge M, Kaymaz M. Transoral protrusión of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting: case report and review of the literature.Turk Neurosurg. 2013;23(2):285-8.
Rajendra Kumar Ghritlaharey. Review of the Management of Peroral Extrusion of Ventriculoperitoneal Shunt Catheter J Clin Diagn Res. 2016; 10(11): PE01–PE06.
Grace Muthoni Thiong’o, MD, Christopher Luzzio, MD, and A. Leland Albright, MD. Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr 2015;16:36–41.
Snow RB, Lavyne MH, Fraser RA: Colonic perforation by ventriculoperitoneal shunts. Surg Neurol 1986; 25:173–177
Zhou F, Chen G, Zhang J: Bowel perforation secondary to ventriculoperitoneal shunt: case report and clinical analysis. J Int Med Res 2007; 35:926–929.
Shiong Wen Low, Lwin Sein, Tseng Tsai Yeo, Ning Chou. Migration of the Abdominal Catheter of a Ventriculoperitoneal Shunt into the Mouth: A Rare Presentation. Malaysian J Med Sci. 2010; 17(3): 64-67.
Odebode TO. Jejunal perforation and per oral extrusion of a peritoneal shunt catheter. Br J Neurosurg 2007; 21:235-6.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Gupta G, Kushwaha AS, Chanchlani R, et al. Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children. Pediatr Surg Int. 2007;23:575-80.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, Srivastava J. Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions. Afr J Paediatr Surg. 2012;9:32-9.
Hai A, Rab AZ, Ghani I, Huda MF, Quadir AQ. Perforation into gut by ventriculoperitoneal shunts: A report of two cases and review of the literature. J Indian Assoc Pediatr Surg. 2011;16:31-33.
Park CK, Wang KC, Seo JK, Cho BK. Transoral protrusion of a peritoneal catheter: a case report and literature review. Child’s Nerv Syst 2000;16:184–9.
Vinchon M, Baroncini M, Laurent T, et al: Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment. Neurosurgery 2006; 58(suppl 1): ONS76 – 82.
Brownlee JD, Brodkey JS, Schaefer IK. Colonic perforation by ventriculoperitoneal shunt tubing: A case of suspected silicone allergy. Surg Neurol 1998;49:21–4.
Sridhar K, Karmarkar V. Peroral extrusion of ventriculoperitoneal shunt: Case report and review of literature. Neurol India 2009;57:334-6.
Moncef Berhouma, Mahmoud Messerer, Sobhy Houissa, Moncef Khaldi. Transoral Protrusion of a Peritoneal Catheter: A Rare Complication of Ventriculoperitoneal Shunt. Pediatr Neurosurg 2008;44:169–171.
Moneet Agarwal, Ritu Adhana,1 Hemant Namdev, Yad R. Yadav, and Tarun Agrawal. Transoral extrusion of the ventriculoperitoneal shunt: A case report and review of literatura. J Pediatr Neurosci. 2011; 6(2): 149–151.
Grace Muthoni Thiong’o, MD, Christopher Luzzio, MD, and A. Leland Albright, MD. Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr. 2015; 16:36–41.
Sathyanarayana S, Wylen EL, Baskaya MK, Nanda A: Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases. Surg Neurol 2000; 54(5):388-96.
Mahesh Gupta, Naseeb C Digra,1 Narendra Sharma,2 Subhash Goyal, and Amit Agrawal. Peroral Extrusion of the Peritoneal Catheter in an Infant. N Am J Med Sci. 2012; 4(6): 290–292.
Rajendra K. Ghritlaharey. Extrusion of Ventriculoperitoneal Shunt Catheter through Mouth in a Two-year-old Girl: A Case Report. International Journal of Clinical Pediatric Surgery. 2015; 1(1): 1-4.
P Mandhan et al. Laparoendoscopic Removal of Peroral Extrusion of a Ventriculoperitoneal Shunt. Asian J Endosc Surg 2015;8(1): 95-97.
Pinto FC, de Oliveira MF. Laparoscopy for ventriculoperitoneal shunt implantation and revision surgery. World J Gastrointest Endosc. 2014; 6:415-18.
Phan S, Liao J, Jia F, Maharaj M, Reddy R, Mobbs RJ, et al. Laparotomy vs minimally invasive laparoscopic ventriculoperitoneal shunt placement for hydrocephalus: A systematic review and meta-analysis. Clin Neurol Neurosurg. 2016; 140:26-32.
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Publicado
2018-06-07
Cómo citar
Uparela Reyes, M. J., Manrique Díaz, K. A., & Ferreira Prada, C. A. (2018). Migración del catéter de derivación ventriculoperitoneal con protrusión por cavidad oral: Reporte de un caso y revisión de la literatura. Neurociencias Journal, 24(2), 153–160. https://doi.org/10.51437/nj.v24i2.15
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