Abstract
Ventriculoperitoneal shunts are the current treatment of choice for congenital hydrocephalus. It is rare for physicians to see patients with alternative types of shunting devices. Lumboureteral shunts, once popular from the 1940s to 1960s, decompress via the genitourinary system. Immediate complications were dehydration, electrolyte imbalances, infection, and the sacrifice of a functional kidney. Long-term complications include retrograde meningitis due to urinary tract infections. Three shunt types have been documented: polyethylene, silicone rubber, and ureterodural anastomosis. Routine imaging cannot detect a ureterodural anastomosis, and if suspected, computed tomography myelogram is needed for confirmation. This article presents the case of a man with long-standing ureterodural anastomosis that required ligation after recurrent episodes of acute meningitis secondary to urinary retention.
References
Jul 1, 1977·Journal of Neurosurgery·E G FischerJ Shillito
Dec 1, 1992·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·J Keen
Apr 1, 1989·Urology·J H KellyL H Harrison
Jun 1, 1973·Journal of Neurosurgery·H D PortnoyL Tripp
Jan 1, 1968·Annals of the New York Academy of Sciences·S Braley
Dec 1, 1983·Surgical Neurology·J Shillito
Feb 1, 1980·The Journal of Urology·J A SmithR G Middleton
Sep 1, 1994·Surgical Neurology·P C FerreraJ Shillito
Aug 1, 1993·Urology·P B IrbyM L Stoller
Jun 1, 1996·The Journal of Urology·E J Pienkos
Sep 24, 1999·Pediatric Neurosurgery·R A Rachel
Nov 15, 1956·The New England Journal of Medicine·D D MATSON
Jun 7, 2005·Neurosurgery·Chima OhaegbulamLiliana Goumnerova
Nov 1, 1934·Annals of Surgery·E P Lehman
Dec 1, 1918·Annals of Surgery·W E Dandy
May 1, 1949·Journal of Neurosurgery·D D MATSON
Sep 6, 2013·Neurology India·Hrishikesh Sarkar, A Karthikeyan
Feb 17, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Allan R TunkelJoseph R Zunt