A case of infertility in a patient with a ventriculoperitoneal shunt.

Abstract:

OBJECTIVE AND IMPORTANCE:Complications arising from the placement of ventriculoperitoneal (VP) shunts are well documented. A case of infertility is presented that was thought to result from factors related to the distal end of a VP shunt residing within a patient's abdomen. CLINICAL PRESENTATION:A 30-year-old female with a 3-year history of infertility was referred for fallopian tube blockage. An exploratory laparoscopy revealed multiple adhesions adjoining the distal end of her fallopian tubes. The distal portion of a VP shunt placed at childhood (with subsequent revisions) was found entangled among grossly inflamed and densely adhesive pelvic viscera. INTERVENTION:Laparoscopic adhesiolysis was performed and the patient's fallopian tubes were reconstituted. The distal portion of the VP shunt was freed from the surrounding viscera and was not revised. CONCLUSION:VP shunts may produce adhesive disease and complicate fertility via mechanical, chemical, and/or infectious processes.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

White JB,Raffel C,Blackwell RE

doi

10.1159/000098391

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

146-8

issue

2

eissn

1016-2291

issn

1423-0305

pii

000098391

journal_volume

43

pub_type

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