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 CASE REPORT
Year : 2010  |  Volume : 58  |  Issue : 4  |  Page : 662--664

Unusual cause for ventriculoperitoneal shunt failure: Carcinoma breast compressing distal catheter


1 Neurological Surgery Unit, Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
2 General Surgery, Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Correspondence Address:
Yam B Roka
Neurosurgical Unit, Department of Surgery, B. P. Koirala Institute of Health Sciences, Dharan
Nepal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.68704

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Insertion of a ventriculoperitoneal (VP) shunt is one of the most common surgical procedures in any neurosurgery unit worldwide. Distal catheter obstruction outside the peritoneum is a rare cause of shunt failure. We report the first case of distal obstruction in a 70-year old female by carcinoma breast engulfing the catheter and causing kinking. Intraoperatively, the catheter was intratumoral with no flow of cerebrospinal fluid distally. She underwent relocation of a new catheter to the opposite side of the abdomen and modified mastectomy with resolution of the hydrocephalus. The postoperative course has been uneventful.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow