Case Report: Ventriculoperitoneal Shunt Catheter Migration and Transanal Extrusion in Persistent Vegetative State Adult Patient

• DOI: 10.20473/fmi.v55i4.24515
• Publication Date: 2021-01-21T05:22:47Z
• Authors: Asra Al Fauzi; Muhammad Arifin P...; Joni Wahyuhadi; Eko Agus Subagio; Agus Turchan
• Keywords: Anus; Bowel perforation

The complications of ventriculoperitoneal (VP) shunts are many and reported in literature extensively. complication transanal extrusion after bowel perforation is known although rare. This very well described amongst the children. authors describe case a VP shunt occurring 51-year-old adult patient. patient has history craniotomy for acute subdural hematoma severe head injury one year ago continued with post-traumatic hydrocephalus. Home care bedridden conditions done at home until finally, family gets catheter extrude from transanal. Bowel rare but serious problem. exact pathogenesis shunt-related organ through anus unclear, various mechanisms have been suggested, Among factors, age prominent factor perforation.1 Because weak musculature stronger peristaltic activity, children more susceptible to than patients. In shunted patient, risk factors related PVS chronic immobilization, as this case. Risk quite distinct Persistent vegetative state (PVS) immobilization be aware of.