Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in XXXX .

@entity1 @entity1276 @entity281 @entity1906 @entity298
@entity298 ( @entity298 ) shunting used in the treatment for @entity1276 is associated with several complications. Mechanical failure of shunt is the commonest complication of all. Visceral/bowel perforation is an unusual but serious complication of @entity298 shunting. This article reports our experience in the management of ten @entity1 who had @entity298 Shunt catheter protrusion from anus. This is a retrospective study of ten @entity1 who had @entity298 shunt catheter protrusion from anus, admitted in the department of paediatric surgery between Jan 1996 and Dec 2005. The records of above ten cases were reviewed for their clinical presentation and management, etc. We had performed 398 @entity298 shunt operations in the last 10 years. Two hundred and seventy one (68.09%) @entity298 Shunts were done for congenital @entity1276 of which 164 were done in infancy/neonatal period and 107 @entity298 shunts were done in the age group of >1-12 years. One hundred and twenty-seven (31.90%) @entity298 shunt operations were done for @entity1 who had @entity1276 as a complication following @entity1906 ( @entity1906 ). Out of 398 @entity298 shunts, ten @entity1 (2.51%) had protrusion of the distal end of peritoneal catheter from anus without causing/leading to @entity298 . We observed a 08.29% mortality of all @entity298 shunt operations. Protrusion of @entity298 shunt catheter per rectum can occur without producing @entity298 . Formal exploration and localization of entry of @entity298 shunt catheter in bowel is not mandatory. Mini laparotomy and revision of peritoneal part of shunt can be done if there is no @entity281 .
