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KMID : 1001920130530060383
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Journal of Korean Neurosurgical Society
2013 Volume.53 No. 6 p.383 ~ p.385
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Upward Migration of a Peritoneal Catheter Following Ventriculoperitoneal Shunt
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Cho Kyung-Rae
Yeon Je-Young
Shin Hyung-Jin
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Abstract
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We present an unusual case of peritoneal catheter migration following a ventriculoperitoneal shunt operation. A 7-month-old infant, who had suffered from intraventricular hemorrhage at birth, was shunted for progressive hydrocephalus. The peritoneal catheter, connected to an ’ultra small, low pressure valve system’ (Strata®; PS Medical,Gola, CA, USA) at the subgaleal space, was placed into the peritoneal cavity about 30 cm in length. The patient returned to our hospital due to scalp swelling 21 days after the surgery. Simple X-ray images revealed total upward migration and coiling of the peritoneal catheter around the valve. Possible mechanisms leading to proximal upward migration of a peritoneal catheter are discussed.
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KEYWORD
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Ventriculoperitoneal shunt, Migration, Distal catheter, Windlass effect
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