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ACG Case Rep J. 2017; 4: e75.
Published online 2017 May 24. doi:  10.14309/crj.2017.75
PMCID: PMC5449579

Acute Shunt Failure Due to Perforation of Ventriculoperitoneal Shunt Tubing during Percutaneous Gastrostomy

Andrew C. Vivas, MD,1,2 Michael Wilsey, MD,3,4,5 Joseph K. Potthast, MD,6,7 and Gerald F. Tuite, MDcorresponding author1,2,5


The placement of a percutaneous endoscopic gastrostomy (PEG) in a patient with a pre-existing ventriculoperitoneal shunt is generally regarded as safe. A critical but often overlooked technical consideration is confirmation of the course of the distal shunt tube prior to PEG insertion. We present the case of a 4-month-old male infant with shunted hydrocephalus who experienced shunt malfunction due to perforation of the distal shunt tubing after PEG placement.

Articles from ACG Case Reports Journal are provided here courtesy of American College of Gastroenterology