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Coiling and migration of peritoneal catheter into the breast: a very rare complication of ventriculoperitoneal shunt
Authors:Sajad Shafiee  Farideh Nejat  Sherief M. Raouf  Mehrzad Mehdizadeh  Mostafa El Khashab
Affiliation:(1) Department of Neurosurgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran;(2) Department of Neurosurgery, Children’s Hospital Medical Center, Tehran University of Medical Sciences, 14155-7854, Tehran, Iran;(3) Institute of Reconstructive Plastic Surgery, New York University medical Center, New York, USA;(4) Department of Radiology, Children’s Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran;(5) Department of Neurosurgery, Hackensack University Medical Center, New Jersey, USA;
Abstract:Upward migration of distal catheter of a ventriculoperitoneal shunt with coiling is very rare. Pseudocyst and galactorrhea are known breast-related complications. Here, we report a 13-year-old girl, known case of myelomeningocele and shunted hydrocephalus, who presented with right breast pseudocyst due to distal tube migration and coiling of the catheter. Plain radiography was not diagnostic because of severe levoscoliosis, but chest computed tomography scan was confirmatory of shunt coiling lateral to the breast. The possible mechanisms causing this uncommon complication are described.
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