1304. Extreme Complications in VP Shunt : Management and Outcome

Authors: Asra Al Fauzi, MD, IFAANS (Surabaya, Indonesia)

Introduction: Ventriculoperitoneal (VP) shunts are a procedure that has been very popular in dealing with hydrocephalus. Various complications after ventriculoperitoneal (VP) shunt surgery including infection, obstruction, cerebrospinal pseudocyst, bowel perforation and shunt migration have been reported (24% -47%).The serious complication which can sometimes lead to a fatal outcome is bowel perforation, albeit rare. The incidence of bowel perforation is reported to be 0.1% –0.7% of all peritoneal shunting procedures. Methods: We describe some series of cases of extreme bowel perforation and shunt migration in our hospital, including the risk factors, management and outcome. Results: There were several cases of extreme bowel complications of VP shunt in our hospital. Patient characteristics, risk factors, pathophysiology, management and outcomes, were reported. Conclusion: Complication of shunt migration is difficult to avoid, but knowing the risk factors, pathophysiology and supported by proper management will reduce the morbidity and mortality of such cases.