Can we consider ventriculo-gallbladder shunt a first-line treatment in selected patients? Case report of a successful management.
Case report
Hydrocephalus
Shunt
Ventriculo-gallbladder
Journal
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
ISSN: 1433-0350
Titre abrégé: Childs Nerv Syst
Pays: Germany
ID NLM: 8503227
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
16
02
2023
accepted:
13
03
2023
medline:
26
6
2023
pubmed:
19
3
2023
entrez:
18
3
2023
Statut:
ppublish
Résumé
Ventriculo-gallbladder shunt (VGS) has been recognized as a last-resort alternative to treat hydrocephalus when the peritoneum and/or other distal sites can no longer receive shunts. In some specific conditions, it may be conceded as a first-line treatment. We report the case of a 6-month-old girl with progressive post-hemorrhagic hydrocephalus who presented a concomitant chronic abdominal symptom. Specific investigations ruled out acute infection and led to the diagnosis of chronic appendicitis. Both problems were managed in a one-stage salvage procedure consisting of laparotomy sanctioning to treat the abdominal pathology and seize the opportunity to perform a VGS as a first option since the abdomen is prone to ventriculoperitoneal shunt (VPS) failure. Only few cases have reported the use of VGS as the first option to handle uncommon complex cases due to abdominal or cerebrospinal fluid (CSF) conditions. We wish to draw attention to VGS as an effective procedure not only in children with multiple shunt failures but also as first-line management in some selected cases.
Identifiants
pubmed: 36933013
doi: 10.1007/s00381-023-05923-2
pii: 10.1007/s00381-023-05923-2
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1963-1968Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Smith GW, Moretz WH, Pritchard WL (1958) Ventriculo-biliary shunt; a new treatment for hydrocephalus. Surg Forum 9:701–705
pubmed: 13635484
Aldana PR, James HE, Postlethwait RA (2008) Ventriculogallbladder shunts in pediatric patients. J Neurosurg Pediatr 1:284–287. https://doi.org/10.3171/PED/2008/1/5/284
doi: 10.3171/PED/2008/1/5/284
pubmed: 18377303
Ketoff JA, Klein RL, Maukkassa KF (1997) Ventricular cholecystic shunts in children. J Pediatr Surg 32:181–183. https://doi.org/10.1016/s0022-3468(97)90175-5
doi: 10.1016/s0022-3468(97)90175-5
pubmed: 9044118
Pal K, Jindal V (2007) Ventriculo cholecystic shunt in the management of hydrocephalus. Indian Pediatr 44:435–437
pubmed: 17620698
Pancucci G, Plaza-Ramirez E, Driller C, Miranda-Lloret P, Botella-Asunción C (2019) Laparoscopy-assisted placement of a ventriculobiliary shunt: a technical note. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg 35:1397–1400. https://doi.org/10.1007/s00381-019-04173-5
doi: 10.1007/s00381-019-04173-5
West KW, Turner MK, Vane DW, Boaz J, Kalsbeck J, Grosfeld JL (1987) Ventricular gallbladder shunts: an alternative procedure in hydrocephalus. J Pediatr Surg 22:609–612. https://doi.org/10.1016/s0022-3468(87)80110-0
doi: 10.1016/s0022-3468(87)80110-0
pubmed: 3612454
Gil Z, Beni-Adani L, Siomin V, Nagar H, Dvir R, Constantini S (2001) Ascites following ventriculoperitoneal shunting in children with chiasmatic-hypothalamic glioma. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg 17:395–398. https://doi.org/10.1007/s003810100460
doi: 10.1007/s003810100460
Olavarria G, Reitman AJ, Goldman S, Tomita T (2005) Post-shunt ascites in infants with optic chiasmal hypothalamic astrocytoma: role of ventricular gallbladder shunt. Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg 21:382–384. https://doi.org/10.1007/s00381-004-0996-1
doi: 10.1007/s00381-004-0996-1
West GA, Berger MS, Geyer JR (1994) Childhood optic pathway tumors associated with ascites following ventriculoperitoneal shunt placement. Pediatr Neurosurg 21:254–258; discussion 259. https://doi.org/10.1159/000120846
Ignacio RC, Schermerhorn SMV, Marrotte AJ, Prieto JM (2019) Laparoscopic ventricular-cholecystic shunt. J Pediatr Surg Case Rep 47:101233. https://doi.org/10.1016/j.epsc.2019.101233
Frim DM, Lathrop D, Chwals WJ (2001) Intraventricular pressure dynamics in ventriculocholecystic shunting: a telemetric study. Pediatr Neurosurg 34:73–76. https://doi.org/10.1159/000055998
doi: 10.1159/000055998
pubmed: 11287806
Lyngdoh BT, Islam MS (2012) Ventriculocholecysto shunt: a solution to recurrent shunt complications in comorbid post-tubercular hydrocephalus with tubercular adhesive peritonitis. Acta Neurochir (Wien) 154:2267–2270. https://doi.org/10.1007/s00701-012-1506-y
doi: 10.1007/s00701-012-1506-y
pubmed: 23053281
Rivero-Garvía M, Pancucci G, Morcillo J, Millán A, Márquez-Rivas J (2015) Ventriculobiliary shunts, another option. Pediatr Neurosurg 50:152–156. https://doi.org/10.1159/000381030
doi: 10.1159/000381030
pubmed: 25925012
Alraee S, Alshowmer S, Alnamshan M, Azzubi M (2020) Management of ventriculo-gallbladder shunt in the presence of gallstones. BMJ Case Rep 13:e234775. https://doi.org/10.1136/bcr-2020-234775
Barami K, Sood S, Ham S, Canady A (1998) Chemical meningitis from bile reflux in a lumbar-gallbladder shunt. Pediatr Neurosurg 29:328–330. https://doi.org/10.1159/000028748
doi: 10.1159/000028748
pubmed: 9973682
Fountas KN, Kassam MA, Grigorian AA (2007) A rare, delayed complication of a ventriculogallbladder shunt. Case report and review of the literature. Neurosurg Focus 22:E12. https://doi.org/10.3171/foc.2007.22.4.14
Henderson D, Budu A, Horridge M, Jesurasa A, Sinha S, Ushewokunze S, Fisher R (2019) The ventriculo-cholecystic shunt: does CSF volume matter? Childs Nerv Syst ChNS Off J Int Soc Pediatr Neurosurg 35:1557–1560. https://doi.org/10.1007/s00381-019-04317-7
doi: 10.1007/s00381-019-04317-7
Kulwin CG, Margaron FC, Leys CM, Boaz JC, Fulkerson DH (2014) Ventriculogallbladder shunt fracture: bile peritonitis. J Neurosurg Pediatr 13:94. https://doi.org/10.3171/2013.10.PEDS13289
doi: 10.3171/2013.10.PEDS13289
pubmed: 24266681
Morosanu CO, Priscu A, Florian IS (2021) Evaluation of the ventriculocholecystic shunt-an overview of present practice in adult and pediatric hydrocephalus. Neurosurg Rev 44:2533–2543. https://doi.org/10.1007/s10143-021-01472-x
doi: 10.1007/s10143-021-01472-x
pubmed: 33481136
pmcid: 8490219
Scaife M, Abegglen R, Vila C, Stahlfeld K (2018) Abnormal presentation of ascending cholangitis. Clin Case Rep 6:1172–1173. https://doi.org/10.1002/ccr3.1357
doi: 10.1002/ccr3.1357
pubmed: 29881588
pmcid: 5986012
Surfield GA, Klein RL (2006) Case report of symptomatic cholelithiasis after ventricular cholecystic shunt. J Pediatr Surg 41:1933–1934. https://doi.org/10.1016/j.jpedsurg.2006.07.017
doi: 10.1016/j.jpedsurg.2006.07.017
pubmed: 17101375
Pierro A, Manalang LR, May PL, Cooke RW, Cudmore RE, Lloyd DA (1993) Necrotizing enterocolitis complicating the management of posthemorrhagic hydrocephalus. J Pediatr Surg 28:982–985. https://doi.org/10.1016/0022-3468(93)90497-9
doi: 10.1016/0022-3468(93)90497-9
pubmed: 8229603
Reisner A, Smith AD, Wrubel DM, Buster BE, Sawvel MS, Blackwell LS, Laxpati NG, Brahma B, Chern JJ (2021) Utility of ventriculogallbladder shunts in complex cases of hydrocephalus related to extreme prematurity. J Neurosurg Pediatr 27:511–517. https://doi.org/10.3171/2020.9.PEDS20522
doi: 10.3171/2020.9.PEDS20522
pubmed: 33636696
Adegbite AB, Khan M (1982) Role of protein content in CSF ascites following ventriculoperitoneal shunting. Case report J Neurosurg 57:423–425. https://doi.org/10.3171/jns.1982.57.3.0423
doi: 10.3171/jns.1982.57.3.0423
pubmed: 7097343
Demetriades AK, Haq IZ, Jarosz J, McCormick D, Bassi S (2013) The ventriculocholecystic shunt: two case reports and a review of the literature. Br J Neurosurg 27:505–508. https://doi.org/10.3109/02688697.2013.771135
doi: 10.3109/02688697.2013.771135
pubmed: 23445328
Parikh P, Carratola MC, Malik T (2013) Removal of a retained fragment of a ventriculo-gallbladder shunt in the common bile duct. Eur J Surg Sci 4(3):126. https://corescholar.libraries.wright.edu/surg/169