Urinary bladder perforation, intra-corporeal knotting, and per-urethral extrusion of ventriculoperitoneal shunt in a single patient: case report and review of literature

Background

Ventriculoperitoneal shunt (VPS) surgery is the most common procedure performed for the treatment of hydrocephalus. Erosive bladder perforation by a peritoneal catheter is an extremely rare complication of VPS. Only ten cases involving the normal (non-augmented) urinary bladder have been reported so far.

Case

We report a case of erosive bladder perforation, intra-corporeal knot formation, and perurethral extrusion of the distal end of VPS. This is the second only case report so far in the world literature showing triad of uncommon VPS complications in a single patient.

Conclusion

Prompt management could avoid further complications. Patient’s parents should be aware about this rare complication, so that they can seek timely medical help.     

In Situ Formation of ZrB2 and Its Influence on Wear and Mechanical Properties of ADC12 Alloy Mixed Matrix Composites

In this work, aluminium alloy ADC12 reinforced with various amounts of ZrB₂ (0 wt.%, 3 wt.%, 6 wt.%, 9 wt.%) were synthesized by an in-situ reaction of molten aluminium with inorganic salts K₂ZrF₆ & KBF_4. XRD, EDAX, and SEM techniques are used for the characterization of the fabricated composite. XRD analysis revealed the successful in situ formation of ZrB₂ in the composite. From the SEM images, it was concluded that the distribution of reinforcement was homogeneous in the composites. A study of mechanical and tribological properties under the dry sliding condition of ZrB₂-reinforced ADC12 alloy has also been carried out. It is seen that there is an increase in tensile strength by 18.8%, hardness by 64.2%, and an increase in wear resistance of the material after reinforcement. The ductility of the material decreased considerably with an increase in the amount of reinforcement. The composite’s impact strength decreased by 27.7% because of the addition of hard ZrB₂ particulates.