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A rare cause of pediatric urinary incontinence: Ventriculoperitoneal shunt with bladder perforation

Journal: Pediatric Urology Case Reports (Vol.3, No. 3)

Publication Date:

Authors : ; ; ;

Page : 76-83

Keywords : Ventriculoperitoneal shunt; bladder perforation; child; silent bladder perforation.;

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Abstract

We present a case of 2-year-old boy with long term dysuria and intermittent incontinence, and new onset of fever and headache. Significant past medical history includes congenital hydrocephalus with a ventriculoperitoneal shunt placement two years prior to consult. On physical examination, a tubular structure was noted underneath the prepuce suspected to be the distal tip of ventriculoperitoneal shunt, which was confirmed by kidney, ureter and bladder (KUB) X-ray and CT scan. Patient was treated with a novel approach of extraperitoneal removal of ventriculoperitoneal shunt distal tip with cystorrhaphy via a low transverse pfannenstiel incision, separate left ventriculostomy tube insertion and complete removal of ventriculoperitoneal shunt from the right ventricle. This report accounts a rare pediatric case with ventriculoperitoneal shunt perforation into a normal bladder successfully treated with mini-open surgery.

Last modified: 2016-04-06 01:26:38