J Korean Neurosurg Soc.  2014 Oct;56(4):361-363. 10.3340/jkns.2014.56.4.361.

Acute Shunt Malfunction Caused by Percutaneous Endoscopic Gastrostomy without Shunt Infection

• Choi J
• Ki SS
• Park S

• KMID: 2018091
• DOI: http://doi.org/10.3340/jkns.2014.56.4.361

Abstract

Percutaneous endoscopic gastrostomy tube placement is often performed in patients with a ventriculoperitoneal shunt and it has been accepted as a safe procedure. The authors report a case of a 50-year-old male who developed acute exacerbation of the hydrocephalus immediately after the percutaneous endoscopic gastrostomy tube placement without any signs of shunt infection, which has not been reported until now. After revision of the intraperitoneal shunt catheter, the sizes of the intracranial ventricles were normalized.

Keyword

Ventriculoperitoneal shunt; Percutaneous endoscopic gastrostomy; Ventriculoperitoneal shunt malfunction; Ventriculoperitoneal shunt infection

MeSH Terms

Catheters
Gastrostomy*
Humans
Hydrocephalus
Male
Middle Aged
Ventriculoperitoneal Shunt

Figure

• 

  Fig. 1 A : Baseline brain CT scan obtained three months before the percutaneous endoscopic gastrostomy tube placement. B : CT scan on the day after percutaneous endoscopic gastrostomy tube placement showing marked enlargement of the intracranial ventricles.

• 

  Fig. 2 Simple abdominal film taken before the percutaneous endoscopic gastrostomy tube placement (A) and after the procedure (B). Kinking of the intraperitoneal shunt catheter (arrow) is observed in the postprocedural X-ray.

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