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October 2022 -
Volume 20, Issue 10


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From the Editor

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Original Contribution

Evaluation of physical performance and quality of life among patients with previous kidney transplantation: A Cross-sectional study
Shami, Mohammed Adel M, Abdulrahman Mohammed Ali, Saud Mohammed Saud Aleisa, Meshari Ghali Alnefaie
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525174

Investigating the awareness of breast cancer among female pharmacy students in the Makkah region, Saudi Arabia
Jumana Sako, Ghdi Almsaoudi, Rasha AL-Malki, Raghidah Alilyyani,
Rawan Almatrafi, Raghad Almatrafi, Nouf Alwafi, Shuruq Alamer,
Rehab Almehmadi, Reem Alotaibi, Safaa Alsanosi, Alaa Falemban,
Deena Bukhary, Yosra Al-Hindi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525175

Assessing Medical Student Basic Otolaryngology Knowledge:
A questionnaire-based Study

Yahya A. Fageeh, Mohammed A. Basurrah, Abdulaziz S. Aljuaid, Abdulmohsen H. Alghamdi, Rayan D. Alamri, Hamoud A. Alobaylan, Mujahid A. Alzahrani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.952596

Outcome of Antenatal Renal Pelvic Dilatation - Review of Cases from a Tertiary Care Center, in the Armed Forces Hospital, Southern Region, Saudi Arabia
Khalil Mahmoud, Abdullah Mohammed, Basim Qusayri, Bayan Hanif, Mohamed Ayed, Ahmad M. Elabed, Ahmed Kandeel Elhaddad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525187

Regional Covid

COVID-19 Effect on Dietary Supplements' Consumption, Prophetic Medicine Practices and Herbs Use in Saudi Arabia
Elham Abbas Aljaaly, Reem Alhijri, Lujain Al Nasser
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.952597

Self-Reported Adverse Events of COVID-19 Vaccines on Menstrual Cycles
Afaf Farouq Alzahrani, Nada Abdulfattah Abdulaal
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525188

Willingness and attitudes of parents of children under the age of 12 about the COVID- 19 vaccine in Taif city
Ayman A. Atalla, Jamal Faydh, Saad Althuwaybi, Ethar Alharthi, Amani Alrumaym
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525161

Population and Community Studies

Type III Supracondylar humeral fracture in children treated by 3 lateral versus 2 cross K-wire fixation, Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen, Nazih Ali Abdulrahman Omer, Mustafa Kamal Mustafa, Ahmed Mohamed Albushtra
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525164

Assessment of Premarital Screening for Prospective Couples in Aseer Region, Saudi Arabia, 2021
Ayman Mohammad Aboalam, Ali A. Al-Mousa, Saad Alamri, Ossama A. Mostafa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525190

Review Articles

High sensitivity C-reactive protein and dyslipidemia as a marker for the risk for cardiovascular disease
Arun Pandeya, Naveen Kumar Shreevastva, Lal Chandra, Vishwajeet Rohil, Prahlad Karki, Madhab Lamsal
[Abstract]

[pdf]
DOI: 10.5742/MEWFM.2022.9525180

Role of Ipratropium bromide in management of Thunderstorm asthma
Numan Ahmad, Kaleem Murtaza Buttar
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525181

Subcutaneous Migration of Distal Ventriculoperitoneal Shunt Catheter in Morbidly Obese Patients: Two Case reports
Sara Aljohani, Khalid Mahrous, Ahmed AlJohani, Luma Qutub,
Layan Kutub, Raghad Alhajrasi, Hussam Kutub, Abdulrahman Mohammed AlAhmadi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525183

Case Reports

A diagnostic surprise of Hodgkin's Lymphoma in a 29-year-old long distance runner
Kaleem Murtaza Buttar, Numan Ahmad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525185

Middle age man with Gastroparesis
Babur Qayyum Khan
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022.9525186

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
Email
: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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Advertising Enquiries -
lesleypocock@mediworld.com.au
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

The contents of this journal are copyright. Apart from any fair dealing for purposes of private study, research, criticism or review, as permitted under the Australian Copyright Act, no part of this program may be reproduced without the permission of the publisher.

   
October 2022 - Volume 20, Issue 10

Subcutaneous Migration of Distal Ventriculoperitoneal Shunt Catheter in Morbidly Obese Patients: Two Case reports

Abstract

Background: VP shunt failure due to distal catheter migration is an uncommon complication mainly associated with increased intra-abdominal pressure related to obesity.

Observations: We report two cases of morbidly obese patients who presented with recurrent distal catheter migration and pseudocyst formation in the subcutaneous space less than a month following VP shunt placement for the management of hydrocephalus.

Conclusion: Special attention must be given when placing a VP shunt in morbidly obese patients. There are various methods to prevent tube migration in such patients, like using a longer catheter tube, tight closure of the peritoneum while placing the catheter between the fat and abdominal muscles, using a hernia patch, and using laparoscopic techniques. We advocate for using different surgical procedures in obese patients prophylactically to avoid VP shunt failure and distal tube migration in patients with associated risk factors.


Keywords: Shunt Complication, Subcutaneous Migration, Ventriculoperitoneal Shunt, Obesity







 


 

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