Cerebrospinal fluid leakage from the umbilicus: Case report and literature review

International Journal of Surgery Case Reports
Ilyas DolasNecati Ucler

Abstract

Shunt catheters within the peritoneal cavity have migrated through and perforated almost all the intra-abdominal hollow viscera. An umbilical cerebrospinal fluid fistula following a ventriculoperitoneal shunt is an extremely rare complication. We report a 8-month-old infant who presented with leak of clear fluid from the umbilicus, seven months after a ventriculoperitoneal shunt operation. We could not see distal tip of the shunt on examination. After the operation, the patient's follow-up was uneventful. The direct effect of CSF and VP shunt, such as chronic irrigation, silicon allergy, foreign body reaction, may cause sterile inflammation on the abdominal structures and this inflammation may soften tissue and cause CFS leakage and VP shunt extrusion. If the distal tip detected on umbilical region, these patients should be examined frequently for umbilical shunt pathologies, especially infants.

References

Oct 1, 1975·Journal of Neurosurgery·A C Antunes, T R Ribeiro
Apr 1, 1993·Journal of Pediatric Surgery·P C DasP L Rao
Aug 29, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Olcay EserA Afsin Kundak
Sep 26, 2006·Acta neurochirurgica·A GuptaS Vaishya
Sep 6, 2007·Pediatric Neurosurgery·Sandeep MohindraSunil Kumar Gupta

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Citations

Jun 18, 2017·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Mohammed Z AllouhRaed S Said
Mar 9, 2021·Journal of Family Medicine and Primary Care·Meenakshi Yeola Pate, Kushagra Singh

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