Anal extrusion of silent migrated ventriculoperitoneal shunt: Case report and literature review

Abstract

The standard surgical treatment for hydrocephalus is ventriculo-perioneal shunting with shunt failure being the most common complication. A rare and serious consequence is intestinal perforation. A malnourished 9-month-old boy presented with anal protrusion of the distal migrated ventriculoperitoneal (VP) shunt after 2 months of shunt placement. An abdominal X-ray and a brain CT scan were performed. Following the correction of malnourishment and electrolyte imbalance, the patient underwent surgical management, with uneventful discharge on the third day of the procedure. To avoid potentially fatal complications such as sepsis and meningitis, prompt diagnosis and treatment are crucial in these cases.

Keywords

• VP shunt
• Hydrocephalus
• Perforation