A Case of Infertility in a Patient with a Ventriculoperitoneal ShuntWhite J.B.a · Raffel C.a · Blackwell R.E.b
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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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.
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