A Case of Infertility in a Patient with a Ventriculoperitoneal ShuntWhite 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
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.
J. Bradley White
The Mayo Clinic, 200 First St., SW
Rochester, MN 55905 (USA)
Tel. +1 507 255 5123, Fax +1 507 255 2249
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
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