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Case Reports in Neurological Medicine
Volume 2013, Article ID 628493, 4 pages
Case Report

Ventriculoperitoneal Shunt Peritoneal Catheter Knot Formation

1Division of Neurosurgery, Neurosciences Department, King Faisal Specialist Hospital and Research Center, P.O. Box 3354, Riyadh 11211, Saudi Arabia
2College of Medicine, Alfaisal University, King Faisal Specialist Hospital and Research Center, Riyadh 11533, Saudi Arabia
3Division of Pediatric Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Center, Riyadh 11211, Saudi Arabia

Received 30 July 2013; Accepted 15 August 2013

Academic Editors: A. K. Demetriades and V. Wang

Copyright © 2013 Anwar Ul-Haq et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The ventriculoperitoneal (VP) shunt is a common procedure in pediatric neurosurgery that carries a risk of complications at cranial and abdominal sites. We report on the case of a child with shunt infection and malfunction. The peritoneal catheter was tethered within the abdominal cavity, precluding its removal. Subsequently, laparoscopic exploration identified a knot at the distal end of the peritoneal catheter around the omentum. A new VP shunt was inserted after the infection was healed. This type of complication occurs rarely, so there are a limited number of case reports in the literature. This report is complemented by a literature review.