Vp Shunt Gallbladder

The patient had multiple failures of vp shunt and developed massive ascites.

Vp shunt gallbladder. Hydrocephalus is a frequently encountered problem in infancy and is most commonly treated by placement of ventriculoperionteal vp or ventriculoatrial va shunts. These are described in the literature for shunt valves connected to the pleural cavity the pericardium 5 auricula 6 stomach urethra fallopian tubes bladder and saphenous veins 7 8 and the ventriculo vena cava shunt. 9 another alternative used in the case we are presenting is the ventriculo gallbladder shunt initially reported by smith.

Ventriculogallbladder shunts are a rare form of cerebrospinal fluid diversion used when a ventriculoperitoneal shunt is not possible e g. The literature has insufficient data regarding the failure rate but it is presumed to be higher than those for vp and va shunt failure. Laparoscopic insertion of vg shunt was established through inserting the distal end of the vp shunt into the gallbladder fundus with irrigation of the gallbladder using normal saline to clean it from the sludge.

Alternatively the hydrocephalus was treated by ventriculo gallbladder vg shunt in the presence of sludge which was removed from the gallbladder before placement of the shunt. Differential diagnosis a ventriculoperitoneal shunt in a right. Gallbladder atony or cholestasis can occur in response to surgery spasm of the sphincter of oddi or perioperative narcotic use.

Ventriculo gallbladder vgb shunt shifts uid from the brain to the gallbladder. The patient tolerated the procedure well with no difficulties. The patient tolerated the procedure well with no difficulties.

Often used in cases of hydrocephalus when treatment with other shunt locations is not possible these shunts have the following additional features. Percutaneous vgb shunt placement is a novel technique that can be utilized in patients with hostile abdomens who have failed standard csf drainage procedures. Complications specific to vgb shunts can also occur.

Ventriculo peritoneal vp shunt. Evaluation of the vg shunt patency has been done by a nuclear medicine. The vp shunt into the gallbladder fundus with irrigation of the gallbladder using normal saline to clean it from the sludge.