Cerebrospinal fluid leakage from the umbilicus: Case report and literature review.
Paraules clau
Resum
BACKGROUND
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.
METHODS
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.
CONCLUSIONS
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.
CONCLUSIONS
If the distal tip detected on umbilical region, these patients should be examined frequently for umbilical shunt pathologies, especially infants.
