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Vol. 43, No. 2, 2007
Issue release date: February 2007
Section title: Case Report
Pediatr Neurosurg 2007;43:146–148
(DOI:10.1159/000098391)

A Case of Infertility in a Patient with a Ventriculoperitoneal Shunt

White J.B. · Raffel C. · Blackwell R.E.
aDepartment of Neurosurgery, The Mayo Clinic, Rochester, Minn., and bDivision of Reproductive Biology and Endocrinology, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Ala., USA

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Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: 3/1/2007

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 0

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: http://www.karger.com/PNE

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.


  

Author Contacts

J. Bradley White
The Mayo Clinic, 200 First St., SW
Rochester, MN 55905 (USA)
Tel. +1 507 255 5123, Fax +1 507 255 2249
E-Mail White.Brad@mayo.edu

  

Article Information

Received: November 16, 2005
Accepted after revision: May 4, 2006
Number of Print Pages : 3
Number of Figures : 1, Number of Tables : 0, Number of References : 7

  

Publication Details

Pediatric Neurosurgery

Vol. 43, No. 2, Year 2007 (Cover Date: February 2007)

Journal Editor: Frim, D.M. (Chicago, Ill.)
ISSN: 1016–2291 (print), 1423–0305 (Online)

For additional information: http://www.karger.com/PNE


Article / Publication Details

First-Page Preview
Abstract of Case Report

Published online: 3/1/2007

Number of Print Pages: 3
Number of Figures: 1
Number of Tables: 0

ISSN: 1016-2291 (Print)
eISSN: 1423-0305 (Online)

For additional information: http://www.karger.com/PNE


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