PMC3787642_01
Computed Tomography of the brain demonstrating dilated ventricular system as a sign of ventriculoperitoneal shunt malfunction (a) and the reduction in ventricular size after VP shunt revision (b).
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The results of a CSF analysis indicated infection, and a Computed Tomography (CT) scan of his brain showed hydrocephalus, suggesting a shunt malfunction (Figure 1).
Abdominal X-ray showing the peritoneal catheter with early large knot formation.
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A VP shunt X-ray series showed that the peritoneal catheter was coiled in the abdomen (Figure 2).
Laparoscopic view depicting the knot formation at the distal peritoneal catheter embedded within omentum.
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fig3
During the procedure, it was noticed that there was a knot at the distal end of the peritoneal catheter, and the catheter was stuck at the inner surface of the abdominal wall near the point of its entrance (Figure 3).